University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at...

143
التعليمن جودة الية لضما هيئة القومعتماد واUniversity: Alexandria Faculty: Medicine Program Specifications (Academic year: 2015/ 2016)

Transcript of University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at...

Page 1: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

University: Alexandria Faculty: Medicine

Program Specifications (Academic year: 2015/ 2016)

Page 2: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

A. Basic Information:

1. Program title: Master Degree of Internal Medicine

2. Department (s) offering the program; …Internal Medicine Department

3. Program Coordinator: Prof Dr.Mohamed Samy Gad.

4. External evaluator(s): Prof Dr Essmat Shiba (Prof of internal medicine in Cairo university)

5. Type of the program: Single

6. Date of most recent program specifications approval: 2015/2016 B. Professional Information: 1- Program Aims: 2- The aim of this program is to: graduate a competent skillful physician who can deal with

the common health problems in the community, adopt continuous medical education, and can be involved in research teams.

3- Acdemic reference standards (ARS)& ILOs: Academic reference standards of Master Degree in Internal Medicine designed and approved by Department of internal Medicine Faculty of Medicine. Alexandria University. Based on: Generic Academic Reference Standards (ARS): Postgraduate Medical Education, Egypt (2009). Published by National Authority for Quality Assurance and Accreditation of Education (NAQAAE) National [http://naqaae.org/main/php/book/index.php] Benchmarks (if any): guided by

1. Accreditation Council for Graduate Medical Education (ACGME) program requirements: www.acgme.org

2. Royal college of Physicians. http://www.rcpe.ac.uk/

Domain Core Competencies (by area)

ILOs

A. Knowledge and understanding

Graduate of this program must have good working knowledge of :

Basic facts and theories of different diseases of Internal Medicine.

Quality standards of practice in the field of Internal Medicine

By the end of the program the students will be able to:

A1- Describe the characteristics of different diseases in different internal medicine subspecialties.

A2- Identify the effect of different factors involved in the pathogenesis of different diseases of internal medicine.

A3- Discuss the etiology, pathogenesis and clinical presentation of the different diseases of internal medicine.

A4- Describe aging process and principles of geriatric medicine.

A5- Describe different types of diseases related to all body systems and ways of management at all age groups starting from adolescence.

A6- Identify the etiology, genetics, pathology and prognosis of the most common physical and mental diseases in the community.

Page 3: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

Main advances in the field of Internal Medicine and relevant update literature

Basics and ethics of scientific research, especially in what concerns disabled and elderly.

A7- Recognize the clinical spectrum of multi-systemic common medical conditions.

A8- Trace the clinical symptoms related to different body systems.

A9- Identify the common diagnostic and laboratory tests necessary to achieve the diagnosis of common diseases.

A10- Recognize the impacts of professional practice on the environment.

A11- Describe the different management protocols of diseases of internal medicine.

A12- Recall range of adverse drug reactions to commonly used drugs, including complementary medicine.

A13- Recall drugs requiring therapeutic drug monitoring and interpret results.

A14- Outline tools to promote patient safety and prescribing including IT system.

A15- Recognize the main recent advances in the diagnosis & management of different internal medicine diseases.

A16- Use Properly IT in order to be up to date as regard the science of internal medicine and its subspecialities.

A17- Recognize of the essential principals of scientific medical research.

A18- Mention the principles and fundamentals of ethics and legal aspects of scientific research in the field of internal medicine.

B. Intellectual skills Graduate must be skillful in:

Analyzing clinical findings to

derive appropriate differential

diagnosis

By the end of the program the students will be able to:

B1- Use the structural & functional characteristics of the different body systems to explain the different pathological problems.

Page 4: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

Interpreting the available

information to plan for a

comprehensive investigations

of the patient

Taking professional and therapeutic decision in a wide range of professional situations related to the specialty) based on best evidence

Conducting scientific research in a field related to the specialty.

B2-Analyze the clinical signs and symptoms of different internal medicine problems to reach a diagnosis /differential diagnosis.

B3- Select from different diagnostic alternatives to reach a final diagnosis.

B4- Analyze , interpret, and objectively evaluate the history data and physical signs in order to select the appropriate diagnostic procedures required.

B5- Plan the appropriate investigations for each patient to help reaching the diagnosis.

B6- Interpret radiodiagnostic films, blood gas, hematological and biochemical reports of the patient.

B7- Recognize the different risks of diagnostic procedures, and how to avoid or manage them.

B8- Solve some complex atypical problems.

B9- Use the analytical thinking skills in problem-solving and decision making skills for appropriate management of common conditions.

B10- Choose /compare between different treatment modalities based on best practice evidence and cost effectiveness.

B11- plan appropriate management lines for individual patients presenting with the most common medical disorders.

B12- Appraise critically current literature on different diseases of internal medicine.

B13- Apply principles of scientific research.

B14- Analyze reading of research and issues related to the internal medicine.

Page 5: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

C. Professional skills

Graduate must have the following skills:

Conduct all basic technical

procedures in the fields of

internal medicine.

Write comprehensive and

appraise different medical

report

Conduct some advanced technical procedures in the fields of internal medicine.

By the end of the program the students will be able to:

C1 -Interview patients/families about the particulars of the medical condition for which they seek care, with specific attention to behavioral, psychosocial, environmental, and family unit correlates of disease.

C2- Perform full clinical examination of different systems and organs related to internal medicine diseases.

C3- Diagnose and provide management to all common internal medicine diseases including acute episodic medical illness.

C4- Evaluate patients functionally

C5 - Write medical reports

C6 -Integrate patient’s symptomatology, historic data, abnormal physical signs and investigations into a comprehensive differential diagnosis in various body systems affection.

C7- Perform procedures such as pleural tap, paracentesis, lumbar puncture, and attendance of Intra-articular injections & arthrocentesis, Ultrasound and echo sessions,Endoscopy sessions, ERCP session, Hemodialysis

C 8 - Determine the indications, contraindications, and complications of various procedures listed.

D. General and transferrable skills

Graduate must acquire the following skills:

Use information technology to

improve his professional

practice and improve his

learning abilities and able to

manage time and resources

effectively.

By the end of the program the students will be able to:

D1- Retrieve information from all sources ( printed, electronic, communications etc…) at as minimum time as possible.

D2-Search effectively in med line data bases to find relevant articles related to the patient's conditions.

D3- Recognize the importance of being an independent self-learner and acquire the capability to search through medical data base .

D4-Verify the accuracy of scientific material on basis of best evidence in Medicine and in practice.

Page 6: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

Practice self appraisal and

determine his learning needs

Effective Communication skills

and leadership capabilities with

his colleagues and superiors,

different members of the

internal medicine subspecialties

members & patients of different

social levels

D.5. Assess himself and identify personal learning needs.

D6-Present scientific information to individuals and groups of different educational and social levels

D7- Work effectively within a team.

D8- communicates effectively with different members of the internal medicine subspecialties .

D9- Communicate effectively with patients and their families.

E. Attitudes and ethical behavior

Graduate must have the following:

Follow national code of ethics & respect patients rights

Deal with different team members in a professional and cooperative manner

By the end of the program the students will be able to:

E1-Follow national code of ethics & respect patients rights irrespective of diversity.

E2- Respect rights of disabled & elderly.

E3-Reacts to situations of grief with s ympathy

E4-Deal with different team members in a professional and cooperative manner

E5-Council patients & relatives or care givers with appreciation and understanding

Page 7: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

Program courses ILOs Matrix

ILOs Course title

a1 a2 a3 a4 a5 a6 a7 a8 a9 a 10

a 11

a 12

a 13

a 14

a 15

a 16

a 17

a 18

Medical Biochemistry for internal medicine

x x

Medical Physiology for internal medicine

x

Pathology for Internal Medicine

x

Clinical Pharmacology for Internal Medicine I

x x x

Clinical and Chemical Pathology for Internal Medicine I

x

Medical Microbiology for Internal Medicine

x x x

Imaging for Internal Medicine I

x x

Geriatrics x x x x x x x x

Hepatology x x x x x

Rheumatology and Immunology

x x x x x x x x x x x x x x x

Endocrinology x x x x x x x x

Nephrology x x x x x x x x x x x x x

Heamatology x x x x x x x

Gastro-Entrology (GIT) x x x x

Diabetes & Metabolism and lipidology

x x x x x x

Cardiovascular Diseases x x x x x x x

Chest Diseases x x x x

Neuro-Psychiatry for Internal Medicine

x x x x x x x

Tropical Medicine for Internal Medicine

x x x x x x x

ILOs Course title

b1 b2 b3 b4 b5 b6 b7 b8 b9 b10 b11 b12 b13 b14

Medical Biochemistry for internal medicine

x

Medical Physiology for internal medicine

x

Pathology for Internal Medicine I x

Clinical Pharmacology for Internal Medicine I

x x

Clinical and Chemical Pathology for Internal Medicine I

x x

Medical Microbiology for Internal Medicine

x x x

Imaging for Internal Medicine I x x x

Geriatrics x x x x x x

Page 8: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

Hepatology x x x x x x x x

Rheumatology and Immunology x x x x x x x x x x x

Endocrinology x x x x x x

Nephrology x x x x x

Heamatology x x x x x x x

Gastro-Entrology (GIT) x x x x x x

Diabetes & Metabolism and lipidology x x x x x x x x

Cardiovascular Diseases x x x x x x x

Chest Diseases x x

Neuro-Psychiatry for Internal Medicine x x x x x x x x

Tropical Medicine for Internal Medicine x x x

ILOs Course title

C1 C2 C3 C4 C5 C6 C7 C8

Medical Biochemistry for internal medicine

Medical Physiology for internal medicine I

Pathology for Internal MedicineI x

Clinical Pharmacology for Internal MedicineI

Clinical and Chemical Pathology for Internal MedicineI

Medical Microbiology for Internal Medicine

Imaging for Internal Medicine I x x

Geriatrics X x x x x

Hepatology x x x x x

Rheumatology and Immunology x x x x x x x x

Endocrinology x x x

Nephrology x x x x x x x x

Heamatology x x x

Gastro-Entrology (GIT) x x x x

Diabetes & Metabolism and Lipidology x x x x x

Cardiovascular Diseases x x x x x x x

Chest Diseases x x

Neuro-Psychiatry for Internal Medicine x x x

Tropical Medicine for Internal Medicine x

ILOs Course title

d1 d2 d3 d4 d5 d6 d7 d8 d9 e1 e2 e3 e4 e5

Medical Biochemistry for internal medicine

Medical Physiology for internal medicineI

Pathology for Internal MedicineI

Clinical Pharmacology for Internal MedicineI

Clinical and Chemical Pathology for

Page 9: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

Internal MedicineI

Medical Microbiology for Internal Medicine

Imaging for Internal MedicineI

Geriatrics x x x x x x x x x x

Hepatology x x x x x x x x x

Rheumatology and Immunology x x x x x x x x x x x x x

Endocrinology x x x x x x x x x

Nephrology x x x x x x x x x x x

Heamatology x x x x x x x

Gastro-Entrology (GIT) x x x x x x x

Diabetes & Metabolism and Lipidology x x x x x x x x x x

Cardiovascular Diseases x x x x x x x x x x x x x

Chest Diseases x x x x x x x

Neuro-Psychiatry for Internal Medicine x x x x

Tropical Medicine for Internal Medicine

4- Curriculum Structure:

-Program duration: This program is fulfilled in not less than two years with a maximum of seven years ((Fall and Spring semesters ± summer semester & thesis). -Program structure: Students should fulfill the following: 1- Basic of Research : 3 credit hours 2- Obligatory courses: 28 credit hours 3- 8 Credit Hours for thesis of Master degree. 4- One Elective Course : 1 credit hour

-Program Content:

A.

Code

Course

Credit Hours

Theoretical

Practical

1 05500801 Basic of Research 3

2 051608150 Medical Biochemistry for Internal

Medicine 1/2 1/2

3 052008150 Medical Physiology for Internal

Medicine I 1/2 1/2

4 052808150 Pathology for Internal MedicineI 1/2 1/2

5 050608150 Clinical Pharmacology for

Internal MedicineI 1/2 1/2 -

6 050508150 Clinical and Chemical Pathology

for Internal MedicineI 1/2 1/2 -

7 051808150 Medical Microbiology for Internal

Medicine 1/2 1/2

8 053108150 Imaging for Internal Medicine 1 1/2 1/2

9 05150801 Geriatrics 2 1 1

10 05150802 Hepatology 2 1 1

11 05150803 Rheumatology and Immunology 2.5 1.5 1

12 05150804 Endocrinology 2 1 1

13 05150805 Nephrology 2 1 1

14 051518150 Hematology 2 1 1

15 05150806 Gastro-entrology(GIT) 2 1 1

Page 10: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

16 05150807 Diabetes & Metabolism and

lipidology 2.5 1.5 1

17 050208150 Cardiovascular Diseases 2 1 1

18 050408150 Chest Diseases 2 1 1

19 052108150 Neuro-Psychiatry for internal

medicine 2 1 1

20 053308150 Tropical Medicine for internal

medicine 1 1/2 1/2

5- Program Admission Requirements: According to the regulations of the credit hour bylaws of the Faculty of Medicine Alexandria University (annex).

6- Regulations for Progression and Program Completion: According to the regulations of the credit hour by laws of the Faculty of Medicine Alexandria University (annex).Attendance is continuously monitored and kept to see whether students will meet the required percentage of attendance set by the University. A logbook will include all the requirements from the student. Any lecture as well as any practical session, assignment, or procedure training should be signature opposite by the lecturer or trainer. This logbook is a prerequisite to attend the exam.

Methods of student assessment:

Methods Intended Learning outcomes to be assessed

1. Written Exam a1-a6, a9–a13, b1-b11

2. Practical Exam a7- a8,b1 –b6, c1-c6,d9, e1-e5

4. Assignments a14-a16,b12-b14,d1-d4,

5. Thesis a17-a18, b12-b14,d1-d8

7- Methods of program evaluation:

Evaluator Tool Sample

1. Students enrolled in the program Questionnaires.

2. Alumni --------

3. Stakeholders (Employers) Focus group

4. External Evaluator (s) yes

5. Others:

Program Director: Prof Dr Yehia Ghanem Program Coordinator: …Prof Dr. Mohamed Samy Gad………………………..

Page 11: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

COURSE DESCRIPTION

1 Code Credit hours (1/2) Course Prerequisites

051608150 Lectures Clinical Medical Biochemistry for Internal Medicine

1 -

Carbohydrate Metabolism (2): Energy production, storage. Lipid Metabolism (2): Cholesterol & Lipoprotein, triglycerides & Ketone body metabolism. Protein Metabolism (General) (1): Vitamins (2), fat soluble vitamins, water soluble vitamins. Mode of Hormonal action (1). Iron & Calcium Metabolism (1). Molecular biology (5): Nucleotides & DNA & RNA, genome & DNA replication, transcription and protein synthesis, mutations, recombinant DNA technology & PCR.

2 Code Credit hours (1/2) Course Prerequisites

052008150 Lectures Clinical Medical Physiology for Internal MedicineI

1/2 -

Gastrointestinal secretions and absorptions. Ventilation-perfusion relationships. Blood coagulation and anticoagulants. Carbohydrate homeostasis. Physiology of hypothalamic-pituitary adrenal axis. Voluntary movement. Acid base balance. GFR, plasma clearance. Renal tubular functions. Arrhythmias. Cardiovascular regulatory mechanisms. Interstitial fluid formation and its disorders. Cardiac reserve and coronary circulation. Pain sensation and pain control.

3 Code Credit hours (1/2) Course Prerequisites

052808150 Lectures Clinical Pathology for Internal Medicine I

1/2 -

Inflammation, repair-- Ischemic heart diseases -- Valvular heart diseases-- Obstructive respiratory diseases -- Pulmonary infections -- Gastritis, peptic ulcer -- Inflammatory bowel diseases -- Hepatitis, liver tumors -- Thyroid, adrenal, diabetes -- Cerebrovascular disorders

4 Code Credit hours (1/2) Course Prerequisites

050608150 Lectures Clinical Clinical Pharmacology for Internal MedicineI

1/2 -

Rational use of drugs -- Antiviral drugs -- Autacoids.— Antihypertensives – chemotherapy -- Anti-asthmatics -- Anti-arrhythmics -- Coagulants and anticoagulants.-- Peptic ulcer, prokinetics, antiemetics, constipation and diarrhea

5 Code Credit hours (1/2) Course Prerequisites

050508150 Lectures Clinical Clinical and Chemical Pathology for Internal

MedicineI

1/2 -

Laboratory sampling. Laboratory approach to anemia (2 lectures). Laboratory approach to hematological malignancies. Laboratory approach to hemostasis (2 lectures). Basic immunological techniques and blood transfusion (2 lectures). Kidney functions. Liver functions. Hormonal assays and metabolic functions. Biological fluids analysis.

Page 12: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

6 Code Credit hours (½) Course Prerequisites

051808150 Lectures Clinical Medical Microbiology for Internal Medicine

½ -

Antimicrobial therapy. Sterilization, disinfection & antisepsis. Hospital infection control. Infection in immunocompromised host. Bacteremia, septicemia, endocarditis. Avian flu & immunization (1.5 hour).

7 Code Credit hours (1) Course Prerequisites

053108150 Lectures demonstration Imaging for Internal medicine

1/2 1/2

General knowledge of imaging procedures. Chest imaging. GIT imaging . Endocrinal imaging. Musculoskeletal imaging. Neuro imaging. Cardiovascular imaging. Genitourinary imaging

8 Code Credit hours (2) Course Prerequisites

05150801 Lectures Clinical Geriatrics

1 1

Effect of Ageing on body systems,and anti aging measures-lecture.--- Atypical presentations in the elderly.--- Common metabolic disorders in the elderly (diabetes, gout, pseudogout).--- Falls in the elderly --- Gastrointestinal motility in elderly.-- Dementia and Delirium in the elderly. --Psychiatric disorders in the elderly. -- Cerebrovascular disorders in the elderly.-- Urinary Incontinence. Thyroid diseases in the elderly. Prescribing for the elderly. Immunosenescence and susceptibility to infections.--- Nutrition and feeding problems in the elderly. At the end of the course there will be a clinical and written exam.

Page 13: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

9 Code Credit hours (2) Course Prerequisites

05150802 Lectures Clinical Hepatology

1 1

Hepatitis.--- Liver failure.--- Liver cirrhosis.--- Cholestatic liver diseases.--- Gall stones and cancer gallbladder.--- Acute pancreatitis.--- Liver transplantation.---Chronic Pancreatitis.--- Pancreatic tumors. --- Hepatic tumors.--- Portal hypertension.--- Variceal bleeding.--- Autoimmune liver diseases.--- Focal hepatic lesions.

Clinical rounds: 2 hours each: Cirrhosis. Ascites. Jaundice. Liver tumor. Pancreatic lesion. Variceal bleeding Activities: Journal Club. Ultrasound session. Endoscopy session. ERCP session. Hepatopancreatobiliary congresses ,and case presentations Clinical examination: (1 hour): Two cases presentation. Discussion.

10 Code Credit hours (2.5) Course Prerequisites

05150803 Lectures Clinical Rheumatology and Immunology

1.5 1

Laboratory investigations of rheumatic diseases. --- Clinical examination of rheumatic patient.--- Measurements of functional status and diseases activity in rheumatic diseases.--- Rheumatoid arthritis (pathophysiology, clinical picture).--- Management of rheumatoid arthritis.--- Systemic lupus erythematosus.--- Anti-phospholipid syndrome. --- Seronegative spondylopathies (Ankylosing Spondylitis) . Vasculitides, Behcet & sarcoidosis. --- Crystal induced arthritis. --- Systemic sclerosis and related disorders.--- Juvenile chronic arthritis. --- Inflammatory muscle diseases and Polymyalgia Rheumatica. --- Osteoporosis & osteoarthritis. Cells of immune system. HLA –system. Complement system. Hypersensitivity reactions. Autoimmunity. Immune complex diseases. Immune deficiency diseases. AIDS. Cytokines. Adhesion molecules. Immune-based therapies

Clinical Training: Normal articular examination. Clinical examination of a Rheumatoid Arthritis patient. Clinical examination of SLE patient. Clinical examination of an Ankylosing spondylitis patient. Clinical examination of a Systemic sclerosis patient. Dermatological manifestations of rheumatic diseases. Clinical examination of muscular diseases. Radiological training and evaluation of different rheumatic diseases. Intra-articular injections & arthrocentesis. Scientific activities (weekly meetings, case presentations, attending symposiums, conferences…) and self learning will include 5 meetings (4 hours each).

Page 14: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

11 Code Credit hours (2) Course Prerequisites

05150804 Lectures Clinical Endocrinology

1 1

Para-neoplastic Endocrine Syndrome - Multiple Endocrine Neoplasia -- Endocrine Autoimmunity -- Endocrinology and Systemic Disorders -- Endocrinology of Pregnancy -- Hypopituitarism.--- Acromegaly & Pituitary tumors.--- Growth disorders-- Cushing's syndrome -- Blood Pressure changes in Endocrine diseases-- Diseases of the Parathyroid glands-- Thyrotoxicosis and Hypothyroidism—Obesity-- Endocrine Emergencies

12 Code Credit hours (2) Course Prerequisites

05150805 Lectures Clinical Nephrology

1 1

Investigations of renal diseases, urinary tract.- Acid base balance, electrolyte disorders-- Renal syndromes, Acute Glomerulonephritis -- Primary glomerulopathy , nephrotic syndrome -- Tubulointerstitial diseases ,renal tubular disorders -- Acute kidney injury (AKI -- Chronic kidney disease (CKD) -- The kidney in systemic disease (part I) and part II -- Hypertension and the kidney. -- Renal replacement therapy

13 Code Credit hours (2) Course Prerequisites

051518150 Lectures Clinical Haematology

1 1

Hematopoiesis : the student should know the steps of erythropoiesis, enumerate the growth factors.--- Anemia: definition, morphologic classification, causes and clinical manifestation of each type of anemia.--- Polycythemia: definition, enumerate the causes and treatment.--- Leucocytes: enumerate the causes of leucocytosis and the causes of neutropenia and treatment of each type. ---Acute leukanemia and chronic leukemia: definition, clinical picture, the possible causes, classification of acute leukemia and treatment of each type.--- Myeloproliferative diseases: enumerate types and clinical picture of each, treatment of each type. Lymphoma: describe the different types of lymphoma and the clinical picture, clinical staging, treatment of each type and stage. --- Multiple myeloma: definition, clinical picture, treatment. --- Hemostasis: enumerate the causes, clinical picture, methods of diagnosis. --- Blood transfusion.

Page 15: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

14 Code Credit hours (2) Course Prerequisites

05150806 Lectures Clinical Gastro-Entrology (GIT)

1 1

Symptomatology of Gastrointestinal diseases. Diseases of the oesophagus. Diseases of the stomach. Malabsorption syndrome 1. Malabsorption syndrome 2. Motility disorders of the gastrointestinal tract. Inflammatory bowel diseases: 1 "Crohn's disease". Inflammatory bowel diseases: 2 "Ulcerative Colitis". Gastrointestinal neoplasms and polyps. Gastrointestinal bleeding (Upper). Gastrointestinal bleeding (Lower and obscure). Vascular disorders of the gut and diseases of peritoneum. Enteral and parenteral nutrition. Gastrointestinal procedures & imaging.

15 Code Credit hours (2.5) Course Prerequisites

05150807 Lectures Clinical Diabetes & Metabolism and Lipidology

1.5 1

Epidemiology, Diagnosis and classification of diabetes, Pathogenesis of diabetes. Overview of treatment standards in diabetes. Oral agents of treatment of type 2 diabetes. Insulin therapy. Cardiovascular risk reduction in diabetes. Micro vascular complications of diabetes. Peripheral vascular disease and diabetic foot. The Metabolic Syndrome. Gestational Diabetes. Ca Metabolism. Purine metabolism & Gout. Glycogen storage disease. Lysosomal storage disease. Case studies & Course overview.

Lipids in diet, Digestion of lipids (therapeutic implication), Absorption of lipids (therapeutic implication), Plasma lipids, Classification of disorders of lipid metabolism, Hyperlipoproteinemia, Classification of dyslipidemia, Familial syndromes of lipid disorders, Xanthomatosis. Atherogenesis, Risk factors of atherosclerosis, Therapy of dyslipdemic states & atherosclerosis (general measures), Pharmacological management of dyslipidemia.

Clinical Rounds: By the end of the course the graduate should be able to obtain patient history, perform correct physical examination, order appropriate investigations, and interpret results, completely diagnose and effectively treat dyslipidemia and assess risk factors for atherogenesis, master health education & preventive measures for these patients. Learning activities: The course includes Journal Club, Emergency attendance under supervision, Self learning, Clinical Ward rounds

Page 16: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

16 Code Credit hours (2) Course Prerequisites

050208150 Lectures Clinical Cardiovascular Diseases

1 1

Arrhythmia Infective endocarditis Hypertension Nuclear cardiology Hypotension and shock –Electrocardiography Cardiomyopathy and myocarditis Congenital heart dis. in adults Peicardial dis. Cor pulmonale -IHD,stable angina -IHD;Acute coronary syndromes Echocardiography Pacemakers Diseases of Aorta Rheumatic fever & vavular heart dis. Cardiac cath.&angio Heart failure

17 Code Credit hours (2) Course Prerequisites

050407150 Lectures Clinical Chest Diseases

1 1

Pulmonary function tests, interpretation and indication. Bronchial asthma, types, pathophysiology, treatment. Chronic obstructive lung diseases. Tuberculosis, types, clinical picture, management.. Bronchogenic carcinoma. Interpretation of different imaging techniques in chest disorders. Pulmonary Embolism

18 Code Credit hours (2) Course Prerequisites

052108150 Lectures Clinical Neuro-Psychiatry for Internal Medicine

1 1

Neurology: Neurovascular disorders (atherosclerosis and cerebrovascular strokes). CNS infections (leptominigitis, encephalitis, cavernous sinus thrombosis, slow virus infection in brief). Neurodegenerative disorders (senile dementia, Alzheimer, parkinsonism) and multiple sclerosis. Neurotrauma. CNS tumors (DD of a mass lesion in CT scan) Neuromuscular diseases. Epilepsy.Coma and syncope. Neurological manifestations of metabolic and toxic disorders, nutritional and collagenic disease. Neurological examination (paraparesis). Hemiparesis and facial weakness. Cervical and lumbar disc prolapse and spondylosis. Approach to a patient with polyneuropathy. Approach to a patient with headache. Psychiatry: Introduction (General). Psychopharmacology. Anxiety and depression. Organic brain disorders (Delirium). Personality disorders. Drug abuse. Delirium and Dementia. Somatoform Disorders.

Page 17: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

واالعتمادهيئة القومية لضمان جودة التعليم ال

19 Code Credit hours (2) Course Prerequisites

053308150 Lectures Clinical Tropical Medicine

1 1

Schistosomiasis (1). Schistosomiasis (2). Eosinophilia & Fasciolaisis. Intestinal helminthes. Leshmaniasis. Malaria. Toxoplasmosis. Amoeba. Giardia. Enterica. Brucellosis. PUO. Heat disorders. HIV. Tropical Dysenteric Syndrome. Cholera. Food Poisoning. Rabies & tetanus. Filaria. Hydatid. Meningitis. Advice to travelers.

Page 18: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 05150804 Course Name: Endocrinology

Program in which the Course is Given : Master Degree Internal Medicine

Number of Credit Hours 2 Theoretical Clinical/Practical

Course Aims

To allow the candidates to diagnose and treat patients with a variety of common endocrine

disorders involving the pituitary gland, thyroid gland, parathyroid glands, adrenal glands and

gonads, and to manage different endocrine emergencies.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program

matrix) Course ILOs

A. Knowledge

and

Understanding

By the end of the program the

PG students will be able to:

A1- Describe the characteristics

of different diseases in different

internal medicine subspecialties.

A2- Identify the effect of

different factors involved in the

pathogenesis different diseases of

internal medicine.

By the end of the program the PG

students will be able to:

a1-Define the special characteristics of

endocrine diseases.

a2-State the functions of each endocrinal

gland and the characteristic features of its

disease.

a3- Point the effect of different factors

(neoplasm, infections, and autoimmunity)

involved in the pathogenesis different

endocrine disorders.

a4- Recognize the iatrogenic endocrinal

diseases specially iatrogenic thyroid

disorders, Cushing syndrome,

hyperprolactinemia.

1 1

Page 19: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A3- Discuss the etiology,

pathogenesis and clinical

presentation of the different

diseases of internal medicine.

A6- Identify the etiology,

genetics, pathology and

prognosis of the most common

physical and mental diseases in

the community.

A7- Appreciate the clinical

spectrum of multi-systemic

common medical conditions.

a5- List the etiology and outline the

pathogenesis and clinical presentation of

diseases of the pituitary gland, thyroid gland,

parathyroid glands, adrenal glands and

gonads.

a6- Tabulate the different manifestations of

para-neoplastic syndromes.

a7- Recognize the manifestations of multiple

endocrinal neoplasia.

a8-State the role of autoimmunity in the

pathogenesis of endocrinal diseases.

a9- Relate between pregnancy and the

different endocrinal diseases.

a10- Recognize the issue of obesity and its

complications.

a11- Distinguish the different growth

disorders.

a12- List the endocrinal causes of

hypertension.

a13-Recite the causes of different endocrinal

disorders.

a14-Point the genetic predisposition to

different endocrinal diseases like Turner's

and Kleinfilter syndromes.

a15-Describe the pathological changes

occurring in each of the endocrinal glands

with different diseases.

a16-Estimate the prognosis of every

endocrinal disorder.

a17- Review the systemic manifestations of

different endocrinal disorders.

a18-Tabulate the clinical manifestations of

endocrinal diseases according to the affected

system.

Page 20: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A9- Identify the common

diagnostic and laboratory tests

necessary to achieve the

diagnosis of common diseases.

A11- Describe the different

management protocols of

diseases of internal medicine.

A15- Recognize the main recent

advances in the diagnosis &

management of different internal

medicine diseases.

a19- Name the new and ultra-sensitive

hormonal assay tests necessary to achieve

the diagnosis of endocrinal diseases.

a20-Select the most appropriate test to the

matched disease.

a21- Review the management protocols

adopted for treatment of endocrinal diseases.

a22-Point to the special care in management

of pregnant and elder patients.

a23- State the new techniques of hormonal

assay and challenging tests.

a24-Identify the advanced imaging

techniques of endocrinal glands.

B. Intellectual

skills

By the end of the program the

PG students will be able to:

B1- Use the structural &

functional characteristics of the

different body systems to explain

the different pathological

problems.

B2- Analyze the clinical signs and

symptoms of different internal

medicine problems to reach a

diagnosis /differential diagnosis.

By the end of the program the PG

students will be able to:

b1- Illustrate the anatomy and histology of

the different endocrine glands and relate to

the different endocrinal diseases.

b2- Review the hormonal actions to explain

the manifestations of the different endocrinal

disorders.

b3- interpret the typical and atypical clinical

signs and symptoms of different endocrine

diseases.

b4- Construct a questionnaire to differentiate

between the different diseases of each

endocrinal gland.

Page 21: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B5- Plan the appropriate

investigations for each patient to

help reaching the diagnosis.

B8- Solve some complex atypical

problems.

B11- plan appropriate

management lines for individual

patients presenting with the most

common medical disorders.

B12- Critically appraise current

literature on diseases of internal

medicine.

b5- Design a plan of sequential and logic

investigations to reach the diagnosis.

b6- Select the fewer and appropriate

investigations for each patient to help

reaching the diagnosis in short time and with

less expenses.

b7 –Approach appropriately to some

complex problems not conforming to classic

cases especially in elderly people.

b8- Illustrate the diagnostic algorithms to

help the approach to atypical cases.

b9- Construct the lines of treatment for the

different common endocrinal disorders as

thyrotoxicosis, myxoedema, Cushing's

syndrome, endocrinal hypertension and

hyperprolactinemia.

b10- Recognize the indications of surgery

for certain endocrinal diseases and how to

perform a good preoperative preparation and

hormonal control.

b11- Revise the current literature on

endocrine diseases.

C.Professional

and Practical

Skills

By the end of the program the

PG students will be able to:

C2- Perform full clinical

examination of different systems

and organs related to internal

medicine diseases.

By the end of the program the PG

students will be able to:

c1- Examine the endocrinal patient-

clinically- in a systematized manner and at

the targeted time.

c2- Perform valid examination in more

challenging situations (e.g. critical care

setting,

unconscious patient, distracting

environment)

c3- Assess mood and cognitive function as

appropriate and apply this to interpretation

of history.

Page 22: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C3- Diagnose and provide

management to all common

internal medicine diseases.

C4- Evaluate patients functionally.

c4- Achieve proper diagnosis of most of the

endocrine diseases.

c5-Determine when a patient is not

responding to treatment, reassess the

situation, consult others and encourage

others to do so

c6-Score the clinical and laboratory

manifestations of the patient in order to

estimate the progress or regress of the

disease.

c 7- Assess the overall mental and

psychological state of the patient.

c8- Evaluate the functional status of the

patient

c9- Assess the degree of independency.

D. General

Skills

By the end of the program the

PG students will be able to:

D1- Retrieve information from all

sources (printed, electronic,

communications etc…).

D4-Verify the accuracy of

scientific material on basis of best

evidence in Medicine and in

practice,

D6-Present scientific information

to individuals and groups of

different educational and social

levels.

By the end of the program the PG

students will be able to:

d1- Extrapolate the information from

electronic sources.

d2-Cite the needed information from

textbooks in short time.

d3- Practice the research in evidence based

medicine to review the accuracy of scientific

material.

d4- Translate the scientific information to

the patients using simple words and easy

language.

Page 23: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

D8- communicate effectively with

different members of the internal

medicine subspecialties members.

d5- Present information clearly to the

different members of endocrinology unit.

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Para-neoplastic Endocrine Syndrome

Multiple Endocrine Neoplasia

Endocrine Autoimmunity

Endocrinology and Systemic Disorders

Endocrinology of Pregnancy

Hypopituitarism

Acromegaly & Pituitary tumors

Growth disorders

Cushing's syndrome

Blood Pressure changes in Endocrine

diseases

Diseases of the Parathyroid glands

Thyrotoxicosis and Hypothyroidism

Obesity

Endocrine Emergencies

Please check () the appropriate method.

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

Mid-term %

End of term 100 %

Distribution of Marks

Written Exam 55%

Practical/Clinical Exam 30 %

Others Mid-Term 10% Activities 5%

Page 24: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

List of Textbooks and References

Lecture Notes

Course Text Books

Davidson Textbook of Medicine

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor

Name: Aliaa El-Aghoury Signature:

Program Coordinator

Name: Mohamad Samy Gad Signature:

Program Director (Head of Department)

Name: Yehia Ghanem Signature:

Page 25: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 05150802 Course Name: Hepatology

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 2

Theoretical Practical

Course Aims: This course will allow the postgraduates students to deal efficiently with liver, gall

bladder and pancreatic diseases that are common in Egyptian community with their various strata.

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs

A. Knowledge

and

Understanding

By the end of the program the

PG students will be able to:

A1- Describe the characteristics

of different diseases in different

internal medicine subspecialties.

A2- Identify the effect of different

factors involved in the

pathogenesis different diseases of

internal medicine.

A3- Discuss the Etiology,

Pathogenesis and clinical

presentation of the different

diseases of internal medicine

By the end of the program the PG

students will be able to:

a1-Outline the characteristic features of

hepatic diseases.

a2-List the common features of pancreatic

disorders.

a3- Name different factors (congenital

abnormalities, neoplasm, infections,

autoimmunity) involved in the

pathogenesis of different hepato biliary and

pancreatic diseases.

a4- State the effects of these factors on the

course of the disease.

a5- List the different causes of hepatic,

biliary and pancreatic diseases.

1 1

Page 26: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A4- Describe the management

protocols &/or procedures

adopted in management of

diseases of internal medicine

A15 Recognize the main recent

advances in the diagnosis &

management of different internal

medicine diseases.

a6- Recognize the common symptoms and

signs of hepatic, biliary and pancreatic

diseases.

a7- Describe the pathophysiologic basis of

liver diseases.

a8- Estimate the national burden of hepatic

diseases in Egypt.

a9- Explain the pathophysiology of gall

stones.

a10- Identify the pathophysiology of

pancreatitis.

a11- Differentiate between the different

causes of portal hypertension.

a12- Describe the clinical presentations and

differential diagnosis of common hepato

biliary and pancreatic diseases.

a13-Predict the complications of portal

hypertension.

a14-Describe the main mechanisms of

development of ascites and the different

tools of its management.

a15-Predict the risk factors of variceal

bleeding and describe its management.

a16- Discuss the lines of management of

common hepatic diseases according to the

adopted protocols (acute and chronic

hepatitis, ascites, variceal bleeding,

cholecystitis and pancreatitis as well as

hepato biliary and pancreatic neoplasm).

a17- Outline the management of hepato

biliary and pancreatic disorders in certain

populations as pregnant women.

a18- Identify the main recent advances in

the diagnosis & management of hepatitis

C and B and HCC and the indications of

liver transplantation.

Page 27: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

a19- Discuss the recent advances in

diagnosis of medical emergencies such as

bleeding esophageal bleeding, refractory

ascites and hepatic encephalopathy and

their management including sclerotherapy

and band ligation.

B. Intellectual

skills

By the end of the program the

PG students will be able to:

B1- Use the structural &

functional characteristics of the

different body systems to explain

the different pathological

problems.

B2-Analyze the clinical signs

and symptoms of different

internal medicine problems to

reach a diagnosis /differential

diagnosis.

B4- Analyze, interpret, and

objectively evaluate the history

data and physical signs in order

to select the appropriate

diagnostic procedures required.

By the end of the program the PG

students will be able to:

b1-Illusterate the anatomy and histology of

the liver, gall bladder and pancreas

b2- Review the physiological functions of

the liver, gall bladder and pancreas.

b3- Relate the derangements in structure

and functions to the different pathological

changes of the liver, gall bladder and

pancreas.

b4 - Detect the symptoms & signs of liver

diseases.

b5 – Integrate the clinical symptoms and

signs to reach a final diagnosis and proper

decision making.

b6- Analyze the data available either

history data or physical signs in order to

determine the need for further diagnostic

tools to diagnose the hepato biliary and

pancreatic diseases.

b7- Select the most appropriate diagnostic

tool to reach a correct diagnosis of a

hepatic disease.

b8-Assess situations of the hepato biliary

and pancreatic diseases in which there is a

need to refer the patient to a hepatologist.

Page 28: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B6- Interpret radiodiagnostic

films, blood gas, hematological

and biochemical reports of the

patient.

B7- Recognize the different

risks of diagnostic procedures,

and how to avoid or manage

them.

B8- Solve some complex

atypical problems.

B9. Use the analytical thinking

skills in problem-solving and

decision making skills for

appropriate management of

common conditions.

B10- Choose /compare between

different treatment modalities

based on best practice evidence

and cost effectiveness.

b9- Select and interpret the proper

laboratory investigations for each case

especially the hepatic and pancreatic

function tests as well as the sero markers of

viral hepatitis.

b10- Outline the use of recent sensitive

liver profile assays to monitor patient

progress.

b11- Interpret radio-diagnostic films

including ultrasonographic and CT images.

b12-Predict the various risks and

complications of liver biopsy and ascitic

tapping, and illustrate how to avoid or

manage them.

b13-Construct a questionnaire to resolve

some complex problems and adhere to the

guide lines for diagnosis.

b14- Sketch the diagnostic algorithms to

help the approach to atypical cases.

b15- Analyze the patient data skillfully to

reach the right decision in certain difficult

situations like relapsed hepatitis c,

pregnancy induced liver disease and drug

induced liver disease.

b16- Plan and recommend appropriate

treatment for each case on an individual

base.

b17-Select from different treatment

modalities based on best practice evidence

and cost effectiveness especially for those

concerned with treatment of viral hepatitis

B and C as well as HCC.

b18 - Practice activities based on self-

learning.

Page 29: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C. Professional

and Practical

Skills

By the end of the program the

PG students will be able to:

C2- Perform full clinical

examination of different systems

and organs related to internal

medicine diseases.

C3- Diagnose and provide

management to all common

internal medicine diseases

including acute episodic medical

illness.

C6 -Integrate patient’s

symptomatology, historic data,

abnormal physical signs and

investigations into a

comprehensive differential

diagnosis in various body systems

affection.

C7- Perform procedures such as

pleural tap, paracentesis, lumbar

puncture, and attendance of Intra-

articular injections &

arthrocentesis, Ultrasound and

echo sessions, Endoscopy

sessions, ERCP session,

Hemodialysis.

By the end of the program the PG

students will be able to:

c1 -Practice complete and thorough clinical

examination of the hepatic patient.

c2- Assess mood and cognitive function as

appropriate and apply this to interpretation

of history.

c3- Examine the nervous system to assess

the neurological manifestations of hepatic

encephalopathy.

c4- Hold the diagnosis of most of the

hepato-biliary and pancreatic diseases.

c5-Judge the appropriate time to consult

others and encourage others to do so.

c6 -Score the clinical and laboratory

manifestations of the patient in order to

estimate the progress or regress of the

disease (Child- Pugh classification of liver

diseases).

c7- Assess and manage the common

hepato-biliary and pancreatic diseases

within internationally accepted standards of

time and competency.

c8- Analyze the patient’s symptoms and

signs and interpret his investigations to

construct a comprehensive differential

diagnosis of certain hepatic problems such

as accidental discovery of high

transaminases.

c9 - Assess the medical emergencies

clinically in the shortest time and decide

how to manage or refer to the appropriate

centre.

c10- Practice certain procedures such as

paracentesis.

Page 30: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C8 - Determine the indications,

contraindications, and

complications of various

procedures listed.

c11- Employ the ultrasonography and

various endoscopies in diagnosis of hepato-

biliary and pancreatic diseases

c12- List the indications and

contraindications of various procedures

especially liver biopsy.

c13- Predict and manage the complications

of these procedures.

D. General

Skills

By the end of the program the

PG students will be able to:

D1- Retrieve information from all

sources (printed, electronic,

communications etc…).

D4-Verify the accuracy of

scientific material on basis of best

evidence in Medicine and in

practice.

D8- communicates effectively

with different members of the

internal medicine subspecialties.

D9- Communicate effectively

with patients and their families.

By the end of the program the PG

students will be able to:

d1- Extrapolate the information from

electronic sources.

d2-Quote the needed information from

textbooks in short time.

d3- Employ the evidence based medicine in

verifying the accuracy of the scientific

information.

d4- Develop appropriate professional

attitudes.

d5 – Specify the various problems and

issues related to patients.

d6 – Translate information clearly to the

different members of other subspecialties.

d7 - Provide family support and health

education.

d8- Report the patient and his family about

the risks and prognosis of his liver or

pancreatic disease.

Page 31: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Hepatitis.

Autoimmune liver diseases.

Liver cirrhosis.

Portal hypertension. Endoscopy

sessions

Acute pancreatitis.

Chronic pancreatitis.

Hepatic tumors.

Pancreatic tumors.

Liver transplantation.

Focal hepatic lesions.

Gallstones & cancer gallbladder.

Acute liver failure.

Cholestatic liver diseases.

Variceal bleeding. Live

endoscopy

sessions

Page 32: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted.

Mid-term 0 %

End of term 100 %

Distribution of Marks

Written Exam 70 %

Practical/Clinical Exam 30 %

Others 0 %

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

Davidson Textbook of Medicine

Suggested Extra Reading

Sheila Sherlock diseases of the liver & biliary

system.

Journals and Periodicals, others

Journal of Hepatology, JAMA

Course Instructor: Prof Dr/ Fathallah sedky Signature:

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:

Department Head: Prof Dr/ Yehia Ghanem Signature:

Page 33: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 051608150 Course Name: Medical biochemistry for internal medicine

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 1/2

Theoretical Practical

Course Aims: This course aims at introducing the students to the basic knowledge of metabolism of

different food staffs with special regards to the relation to metabolic changes of common diseases in the

society to help them to deal with common medical problems

Intended Learning Outcomes (ILOs)

Program ILO (refer to the

program)

Course ILOs

A. Knowledge and

Understanding

Graduate of this program must

have good working knowledge

of :

A2- Identify the effect of different

factors involved in the

pathogenesis different diseases of

internal medicine.

A6- Identify the etiology,

genetics, pathology and

prognosis of the most common

physical and mental diseases in

the community.

By the end of the program the PG

students will be able to:

a1-Discuss different types of oxidation of

glucose.

a2-Describe the synthetic pathways of

carbohydrates.

a3-Discuss metabolism of galactose and

fructose

a4-Explain regulation of carbohydrate

metabolism,

a5-Describe oxidation of fatty acids,

a6-Explain ketone body metabolism and

cholesterol metabolism.

a7-Explain general catabolism of amino

acids.

a8- State causes, manifestations and

principles for the treatment of metabolic

abnormalities related to amino acid and

diabetes mellitus

a9- Discuss functions and list the causes

and manifestations of deficiency of water

soluble and fat soluble vitamins.

1/2 -

Page 34: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

a10- Explain the mechanism of action of

hormones.

a11- Describe replication, transcription and

protein synthesis.

a12- Discuss recombinant DNA

technology and PCR.

B. Intellectual skills

Graduate must be skillful in:

B1- Use the structural &

functional characteristics of the

different body systems to explain

the different pathological

problems.

By the end of the program the PG

students will be able to:

b1-Employ the regulatory mechanisms of

carbohydrate metabolism to explain the

pathogenesis of diabetes mellitus.

b2-Describe the sequences of fat

metabolism and its deviations from normal

to explain how hyperlipidemia develop.

b3-Associate the relevance of the different

signs and symptoms to the severity of

vitamin deficiencies.

D. Professional

and Practical

Skills

_____________________

___________________________________

E. General Skills

___________________________

________________________________

Page 35: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Content

(Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small group

discussion

Others

1 Carbohydrate Metabolism √

2 Energy production,

storage.

3 Cholesterol &

Lipoprotein metabolism

√ √

4 triglycerides & Ketone

body metabolism

√ √

5 Protein Metabolism √ √

6 fat soluble vitamins, √ √

7 water soluble vitamins. √ √

8 Mode of Hormonal action √ √

9 Iron & Calcium

Metabolism

√ √

10 Nucleotides & DNA &

RNA

√ √

11 genome & DNA

replication.

√ √

12 transcription and protein

synthesis

√ √

13 mutations √ √

14 recombinant DNA

technology & PCR.

√ √

Page 36: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

Written Exam :MCQs 100 %

Practical/Clinical Exam %

Others %

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

Harper’s Medical Biochemistry

Suggested Extra Reading

Stryer’s Medical Biochemistry

Journals and Periodicals, others

Relevant journals.

Course Instructor: Pr. Mohammed Zeidan Signature:

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:

Department Head: Prof Dr/ Yehia Ghanem Signature:

√ √

Page 37: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 050408150 Course Name: Chest for master internal medicine

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 2

Theoretical Practical

Course Aims: To allow the candidates to diagnose and treat patients with a variety of common chest

disorders.

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs

A. Knowledge and

Understanding

By the end of the program the

PG students will be able to:

A1- Describe the characteristics

of different diseases in different

internal medicine subspecialties.

A3- Discuss the etiology,

pathogenesis and clinical

presentation of the different

diseases of internal medicine.

By the end of the program the PG

students will be able to:

a1- Describe the characteristics of different

chest diseases.

a2- Identify the main differences between

the main chest diseases.

a3- Identify the main predisposing factors

and risk factors for the most common chest

diseases.

a4- Describe concisely the pathology and

the pathogenesis of the main chest diseases.

1 1

Page 38: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A11- Describe the different

management protocols of diseases

of internal medicine.

A15- Recognize the main recent

advances in the diagnosis &

management of different internal

medicine diseases.

a5- Discuss the clinical presentation of the

main chest diseases.

a6- Recognize the main ways of achieving

a proper diagnosis of chest diseases.

a7- Identify the proper way of treatment of

the main chest diseases encountered in the

community.

a8- Select the appropriate protocols for

management of different chest diseases.

a9- Describe the main recent advances in

diagnostic tools of chest diseases either

interventional, radiological or laboratory.

a10- Restate the main recent advances in

treatment of the main chest diseases.

B. Intellectual

skills

By the end of the program the

PG students will be able to:

B2-Analyze the clinical signs

and symptoms of different

internal medicine problems to

reach a diagnosis /differential

diagnosis.

B4- Analyze, interpret, and

objectively evaluate the history

data and physical signs in order

to select the appropriate

diagnostic procedures required.

By the end of the program the PG

students will be able to:

b1- Use the main signs and symptoms of

different chest diseases and their relevance.

b2- Analyze those signs and symptoms and

correlate them together to reach possibly a

diagnosis or a differential diagnosis of the

chest diseases.

b3- Appraise the relevance of the different

signs and symptoms to the severity of the

chest disease.

b4- Analyze the data available either

history data or physical signs in order to

decide whether there is a need for further

diagnostic tools to diagnose the chest

disease.

b5- Select the most appropriate diagnostic

tool in order to reach a final diagnosis of a

chest disease.

Page 39: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

b6-Recognize the proper situations of the

chest diseases in which there is a need to

refer the patient to a chest specialist.

C. Professional

and Practical

Skills

By the end of the program the

PG students will be able to:

C1 interview patients/families

about the particulars of the

medical condition for which they

seek care, with specific attention

to behavioral, psychosocial,

environmental, and family unit

correlates of disease.

C2- Perform full clinical

examination of different systems

and organs related to internal

medicine diseases.

By the end of the program the PG

students will be able to:

c1- Construct a proper history from the

patient about his chest disease for which

the help was sought.

c 2- Assess the patient ‘s behavioral,

psychosocial and other environmental

conditions which could be related to his

chest disease.

c 3- Interview the patient family about the

patient chest disease.

c 4- Detect the general clinical signs and

recognize the findings related to the chest

diseases.

c 5- Examine the chest clinically so as to

find the physical signs which will help

reaching a diagnosis.

D. General

Skills

By the end of the program the

PG students will be able to:

D1- Retrieve information from all

sources (printed, electronic,

communications etc…) at as

minimum time as possible.

D6-Present scientific information

to individuals and groups of

different educational and social

levels

By the end of the program the PG

students will be able to:

d 1- Search on the internet for the most

recent advances to learn more about

different diseases pathology, clinical

presentation and diagnosis.

d 2- Locate the information needed as

easily as possible from textbooks.

d 3- Report the patient and his family about

the behavioral and environmental hazards

on the chest diseases.

d 4- Advise the patient and his family

effectively to stop smoking and explain to

them the hazards of smoking.

Page 40: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Bronchial Carcinoma

Chronic Obstructive Pulmonary

Disease

Pulmonary Function Tests

Pulmonary Embolism

Tuberculosis

Bronchial Asthma

Chest Imaging

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

End of Term Final Exam 100 %

Written exam 70%

Practical exam 30%

Page 41: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

Murray and Nadel's Textbook of Respiratory

Medicine

Suggested Extra Reading

-

Journals and Periodicals, others

-

Course Instructor: Dr/ Heba Saied Signature:

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:

Department Head: Prof Dr/ Yehia Ghanem Signature:

Page 42: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 050508150 Course Name: Clinical and Chemical Pathology for Internal

Medicine I

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 1/2

Theoretical Practical

Course Aims:

To allow the postgraduate student to be able to request and interpret laboratory investigations of

common internal medicine diseases.

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs

A. Knowledge

and

Understanding

By the end of the program

the students will be able to

A9- Identify the common

diagnostic and laboratory tests

necessary to achieve the

diagnosis of common diseases.

By the end of the program the PG

students will be able to:

a1- Recognize laboratory approach to

anemia

a2- Plan the appropriate investigations for

hematologic malignancies

a3- Identify the laboratory approch to

hemostasis.

a4- Describe the basic immunological

techniques

1/2 -

Page 43: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

a5- Recognize liver function tests

a6- Recognize kidney function tests

a7- Outline the methods of hormonal assay

and metabolic functions

B. Intellectual

skills

Graduate must be skillful in:

B5- Plan the appropriate

investigations for each patient

to help reaching the diagnosis.

B6- Interpret radiodiagnostic

films, blood gas, hematological

and biochemical reports of the

patient.

By the end of the program the PG

students will be able to:

b1- Order the appropriate investigations for

each patient to help reaching the diagnosis.

b2- Construct an appropriate list of

laboratory investigations that achieve

accurate diagnosis at short time and with

less expenses.

b3- Interpret and correlate laboratory

findings with the patient's clinical picture,

to arrive at a correct diagnosis of

hematological diseases.

b4- Correlate the clinical picture and

biochemical laboratory findings.

b5- Interpret the metabolic and organ

function test results.

b6- Interpret the sequence of evolution of

immune responses in the course of active

infection and the convalescence phase after

infection.

C. Professional

and Practical

Skills

_____________________

_______________________________

D. General

Skills

_________________________

_______________________________

Page 44: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Laboratory sampling √

Laboratory approach to anemia 1 √

Laboratory approach to anemia 2 √

Laboratory approach to hematological

malignancies

Laboratory approach to hemostasis 1 √

Laboratory approach to hemostasis 2 √

Basic immunological techniques and

blood transfusion 1

Basic immunological techniques and

blood transfusion 2

Kidney functions. √

Liver functions 1 √

Liver functions2 √

Hormonal assays and metabolic

functions.

Biological fluids analysis. √

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

Written exam 100%

Page 45: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

Essential hematology

clinical biochemistry

Dacie in practical hematology

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor: Prof Dr/ Hadir Abbassy Signature:

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:

Department Head: Prof Dr/ Yehia Ghanem Signature:

Page 46: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 05150806 Course Name: Gastro-Entrology

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 2

Theoretical Practical

Course Aims: To allow the candidates to diagnose and treat patients with a variety of common

gastro-intestinal tract disorders.

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs

A. Knowledge and

Understanding

By the end of the program the

PG students will be able to:

A1- Describe the characteristics

of different diseases in different

internal medicine subspecialties.

A3- Discuss the etiology,

pathogenesis and clinical

presentation of the different

diseases of internal medicine.

By the end of the program the PG

students will be able to:

a1- Point the special characteristics of

gastrointestinal diseases.

a2- Identify the main differences between

the main gastro-intestinal tract diseases.

a3- Recite the main predisposing factors

and risk factors for the most common

gastro-intestinal tract diseases.

a4- Describe concisely the pathology and

the pathogenesis of the common gastro-

intestinal tract diseases.

1 1

Page 47: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A11- Describe the different

management protocols of diseases

of internal medicine.

A15- Recognize the main recent

advances in the diagnosis &

management of different internal

medicine diseases.

a5- Differentiate the clinical presentations

of the common gastro-intestinal tract

diseases.

a6- Extrapolate the main ways of

achieving a proper diagnosis of gastro-

intestinal tract diseases.

a7- Identify the proper way of treatment of

the main gastro-intestinal tract diseases

encountered in the community.

a8- Describe the main recent advances in

diagnostic tools of gastro-intestinal tract

diseases either interventional, radiological

or laboratory.

a9- Point the main recent advances in

treatment of the common gastro-intestinal

tract diseases including the new

interventional techniques.

B. Intellectual

skills

By the end of the program the

PG students will be able to:

B2-Analyze the clinical signs

and symptoms of different

internal medicine problems to

reach a diagnosis /differential

diagnosis.

B4- Analyze, interpret, and

objectively evaluate the history

data and physical signs in order

to select the appropriate

diagnostic procedures required.

By the end of the program the PG

students will be able to:

b1- Detect the main signs and symptoms of

different gastro-intestinal tract diseases and

their relevance.

b2- Analyze those signs and symptoms and

correlate them together to reach possibly a

diagnosis or a differential diagnosis of the

gastro-intestinal tract diseases.

b3- Appraise the relevance of the different

signs and symptoms to the severity of the

gastro-intestinal tract disease.

b4- Collect the history data.

b5- Organize the physical signs in order to

decide whether there is a need for further

diagnostic tools to diagnose the gastro-

intestinal tract diseases.

Page 48: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B5- Plan the appropriate

investigations for each patient to

help reaching the diagnosis.

B6- Interpret radiodiagnostic

films, blood gas, hematological

and biochemical reports of the

patient.

B7- Recognize the different

risks of diagnostic procedures,

and how to avoid or manage

them.

B11- plan appropriate

management lines for individual

patients presenting with the

most common medical

disorders.

b6- Select the most appropriate diagnostic

tool in order to reach a final diagnosis of a

gastro-intestinal tract disease.

b7-Recognize the proper situations of the

gastro-intestinal tract diseases in which

there is a need to refer the patient to a

gastroenterologist.

b8- Interpret radiological signs the radio-

diagnostic films.

b9-Review the serological tests and

biochemical tests reports of the patient.

b10- Recite the different risks of

gastrointestinal endoscopies and ERCP

and how to avoid or manage them (as

regard patients and doctors).

b11- Follow the instructions of infection

control unit in sterilization of the

instruments specially the endoscopies.

b12- Select from different modalities of

treatment for individual patients

presenting with the most common gastro-

intestinal tract disorders.

b13- Prescribe the new drugs in the

proper doses for their specific indications

with orientation of the predicted side

effects.

C. Professional

and Practical

Skills

By the end of the program the

PG students will be able to:

C1- Interview patients/families

about the particulars of the

medical condition for which they

seek care, with specific attention

to behavioral, psychosocial,

environmental, and family unit

correlates of disease.

By the end of the program the PG

students will be able to:

c1- Construct a proper history taking from

the patient.

c 2- Interview the patient about his

behavioral, psychosocial and

environmental conditions which could be

related to his gastro-intestinal tract disease.

Page 49: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C2- Perform full clinical

examination of different systems

and organs related to internal

medicine diseases.

C7- Perform procedures such as

pleural tap, paracentesis, lumbar

puncture, and attend sessions of

Intra-articular injections &

arthrocentesis, Ultrasound and

echo sessions,Endoscopy

sessions, ERCP session,

Hemodialysis

C 8 - Determine the indications,

contraindications, and

complications of various

procedures listed.

c 3- Interview the patient family about the

patient gastro-intestinal tract disease.

c 4- Perform full clinical general

examination and recognize the findings

related to the gastro-intestinal tract

diseases.

c 5- Perform full clinical gastro-intestinal

tract examination so as to find the physical

signs which will help reaching a diagnosis.

c6- Perform procedures such as

paracentesis.

c7- Realize how gastro- intestinal

endoscopy and ERCP are performed.

c 8 - List the indications and

contraindications, of various procedures

listed.

c9- Predict the complications of the above

mentioned procedures and illustrate how to

avoid and treat them.

D. General Skills

By the end of the program the

PG students will be able to:

D1- Retrieve information from all

sources (printed, electronic,

communications etc…) at as

minimum time as possible.

D6-Present scientific information

to individuals and groups of

different educational and social

levels

By the end of the program the PG

students will be able to:

d 1- Search on the internet for the most

recent advances to learn more about

different diseases pathology, clinical

presentation and diagnosis.

d 2- Locate the information needed as

easily as possible from textbooks.

d 3- Inform the patient and his family about

the behavioral and environmental hazards

on the gastro-intestinal tract diseases.

d4- Practice the medical orientation of

patients in different opportunities.

Page 50: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Content (Units/Topics)

Teaching/Learning Methods

Lecture

s self learning

Practical/

Clinical

Small group

discussion

Other

s

Symptomatology of

Gastrointestinal diseases. √ √

Diseases of the esophagus. √ √

Diseases of the stomach. √ √

Malabsorption syndrome 1 √ √

Malabsorption syndrome 2 √ √

Motility disorders of the

gastrointestinal tract √ √

Inflammatory bowel diseases: 1

"Crohn's disease". √ √

Inflammatory bowel diseases: 2

"Ulcerative Colitis". √ √

Gastrointestinal neoplasms and

polyps. √ √

Gastrointestinal bleeding (Upper). √ √

Gastrointestinal bleeding (Lower

and obscure). √ √

Vascular disorders of the gut and

diseases of peritoneum. √ √

Enteral and parenteral nutrition. √ √

Gastrointestinal procedures &

imaging. √ √

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

70% for the theoretical exam and 30% for the practical one.

Page 51: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

Cecil Text Book of Internal Medicine

Suggested Extra Reading

1. Current Diagnosis & Treatment

Gastroenterology Hepatology and

endoscopy ; Greenberger NG et al

2. Sleizenger & Fordatrin : Text Book of

Gastrointestinal Diseases

Journals and Periodicals, others

Gastroenterology, Gut, Clinical

Gastroenterology & Hepatology

Course Instructor: Prof Ezzat Ali Signature:

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:

Department Head: Prof Dr/ Yehia Ghanem Signature:

Page 52: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 05150801 Course Name: Geriatrics

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 2

Theoretical Practical

Course Aims

The goal of this course in is to provide educational experiences that prepare the trainee to be

competent internist able to provide comprehensive and coordinated care to elderly patients. In

addition, the trainee must become sufficiently familiar with chronic and complex disorders as well as

health and socioeconomic problems affecting the elders and influence their life.

Intended Learning Outcomes (ILOs)

Program ILO (refer to program

matrix) Course ILOs

A. Knowledge

and

Understanding

By the end of the program the

PG students will be able to:

A1- Describe the characteristics

of different diseases in different

internal medicine subspecialties.

A2- Identify the effect of

different factors involved in the

pathogenesis different diseases

of internal medicine.

By the end of the program the PG

students will be able to:

a1. Identify the effect of age on different

body systems.

a2- list the common anti aging measures.

a3. Discuss the effect of senescence in

alterations of the clinical presentation of

different diseases in elderly.

a4. Define the causes and risk factors of

common geriatric problems (urinary

incontinence, confusion, delirium, loss of

weight).

1 1

Page 53: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A3- Discuss the etiology,

pathogenesis and clinical

presentation of the different

diseases of internal medicine.

A4- Describe aging process and

principles of geriatric medicine.

A7- Appreciate the clinical

spectrum of multi-systemic

common medical conditions.

A8- Trace the clinical symptoms

related to different body systems.

A11- Describe the different

management protocols of diseases

of internal medicine.

A14- Outline tools to promote

patient safety and prescribing

including IT system.

a5- Point the environmental hazards of

geriatric problems such as fall and fracture.

a6- list the common causes of different

diseases according to their prevalence in

elderly.

a7. Describe the mechanisms by which

disease process evolve.

a8.Identify the age related structural

changes in different organs and systems

and their roles in development of the

common geriatric diseases.

a9. Describe the relation between the

disease processes and changes in the body

functions.

a10- Review the systemic manifestations of

senescence and senility.

a11-Tabulate the clinical manifestations of

age related problems according to the

affected system.

a12-.Describe the clinical manifestations

and natural history of common diseases in

the elderly (cerebrovascular, endocrinal,

gastrointestinal).

a13- Identify the atypical clinical picture of

most of the internal medicine diseases

when occur in elderly.

a14-. State the basic investigations used in

diagnosis of common geriatric problems

(osteoporosis, fall, nutritional disorders,

urinary incontinence).

a15.Define the treatment options for

common geriatric problems, recognizing

the different levels of interventions.

Page 54: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

a16. Practice how to prescribe medications

to elders and what are its precautions.

a17- Use IT system properly to get the

needed information about specific drug

therapy for the different geriatric problems.

B. Intellectual

skills

By the end of the program the

PG students will be able to:

B1- Use the structural &

functional characteristics of the

different body systems to explain

the different pathological

problems.

B2-Analyze the clinical signs

and symptoms of different

internal medicine problems to

reach a diagnosis /differential

diagnosis.

B3- Select from different

diagnostic alternatives to reach a

final diagnosis.

B4- Analyze, interpret, and

objectively evaluate the history

data and physical signs in order

to select the appropriate

diagnostic procedures required.

By the end of the program the PG

students will be able to:

b1 b1. Describe the effect of senescence in

alterations of the clinical presentation of

different diseases in elderly.

b 2. Apply the basic biomedical science in

understanding disease mechanisms.

b3. Search for and prioritize information

relevant to common geriatric problems.

b 4. Analyze and interpret information

reaching a logic conclusion to solve

common geriatric problems.

b5. Interpret the patient's symptoms and

signs and apply proper clinical reasoning to

reach a diagnosis and differential diagnosis.

b6- Score certain geriatric diseases like

depression, heart failure and dementia.

b7- Construct a questionnaire to

differentiate between the different diseases

that have common symptoms.

b8- Interpolate the most probable diagnosis

from a wide range of differential diagnosis.

b9- Analyze the data available either

history data or physical signs in order to

determine the need for further diagnostic

tools.

b10- Select the most appropriate diagnostic

tool to reach a correct diagnosis of a

geriatric problem.

Page 55: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B9- Use the analytical thinking

skills in problem-solving and

decision making skills for

appropriate management of

common conditions.

B11- Plan appropriate

management lines for individual

patients presenting with the

most common medical

disorders.

b11-Recognize the special situation of the

internal medicine diseases when occur in

elderly.

b12- Analyze the patient data skillfully to

reach the right decision in certain difficult

situations.

b13- Plan and recommend appropriate

treatment for each case on an individual

base.

b14- Design the plan for medical,

psychological and for rehabilitation

management of common geriatric

problems.

b2 b15- Solve some geriatric problems

according to the available data.

b16. Initiate a plan of management of

critically ill patients.

b17. Realize the concept of uncertainty in

medical practice and deal with it using

evidence retrieved from updated medical

research.

b3 b18- appreciate the high incidence of drug-

drug interaction.

b4 b19- assess the compliance of the elders

and consider the functional and economic

barriers that interfere with their compliance.

b5 b20- Formulate search questions related to

patient's problems (Evidence Based

Medicine)

Page 56: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C. Professional

and Practical

Skills

By the end of the program the

PG students will be able to:

C1-Interview patients/families

about the particulars of the

medical condition for which they

seek care, with specific attention

to behavioral, psychosocial,

environmental, and family unit

correlates of disease.

C2- Perform full clinical

examination of different systems

and organs related to internal

medicine diseases.

C3- Diagnose and provide

management to all common

internal medicine diseases

including acute episodic medical

illness.

By the end of the program the PG

students will be able to:

c 1. Describe the steps of history taking and

its importance in collection of relevant

information from the patients and their

relatives.

c2- Obtain an accurate, patient centered

medical history that covers all aspects of

the patient's problems.

c3- Operate a full and systematized clinical

examination to get a complete and clear

view of the geriatric problem in concern.

c4- Identify the methods of clinical

examination to assess the physical and

mental state of the patients.

c5- Order baseline investigations that help

in diagnosis.

c6- Treat common acute geriatric problems

using proper drugs in proper doses.

c7- Diagnose and provide initial

management of common geriatric

emergencies eg. Cerebrovascular stroke,

myocardial infarction, pulmonary

embolism, acute abdomen and myxoedema

coma.

c8- Initiate the management of common

geriatric problems and follow their

treatment. e.g. Water and electrolytes

disturbance, infectious diseases, mental and

psychological problems, sleep disorders,

pain relief, fall, GIT problems and

constipation.

Page 57: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C4- Evaluate patients functionally

C6 -Integrate patient’s

symptomatology, historic data,

abnormal physical signs and

investigations into a

comprehensive differential

diagnosis in various body systems

affection.

c 9-Construct a plan of treatment of

common geriatric problems, with respect of

variation in body systems that necessitate

variation in doses.

c 10- Assess the overall mental and

psychological state of the patient.

c11- Evaluate the functional status of the

elderly patient and the degree of

independency.

c12- Assess and manage the common

geriatric problems within internationally

accepted standards of time and

competency.

c13- Analyze the patient’s symptoms and

signs and interpret his investigations to

construct a comprehensive differential

diagnosis of certain geriatric problems.

c14 - Assess the medical emergencies

clinically in the shortest time and decide

how to manage or refer to the appropriate

centre.

D. General Skills

By the end of the program the

PG students will be able to:

D1- Retrieve information from all

sources (printed, electronic,

communications etc…) at as

minimum time as possible.

D6-Present scientific information

to individuals and groups of

different educational and social

levels.

By the end of the program the PG

students will be able to:

d1- Extrapolate the information from

electronic sources.

d2-Quote the needed information from

textbooks in short time.

d 3- Inform the patient and his family about

the behavioral and environmental hazards

on the elderly.

d4- Practice the medical orientation of

patients in different opportunities.

Page 58: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

d7- Work effectively within a

team.

d8- Communicates effectively

with different members of the

internal medicine subspecialties.

d9- Communicate effectively with

patients and their families.

d5- Manage the working team and respect

the inter-disciplancy nature of geriatric

team.

d6- lead and cooperate with the different

members of medical team.

d7- Present information clearly to the

different members of the internal medicine

subspecialties.

d8- Show willingness to be patient and

communicate effectively with the patients

and their families.

d9- Translate the scientific information to

the patients using simple words and easy

language.

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small group

discussion Others

Effect of Ageing on body

systems, and anti aging

measures-lecture.

Atypical presentations in the elderly

Common metabolic disorders in

the elderly (diabetes, gout,

pseudo gout).

Falls in the elderly

Gastrointestinal motility in

elderly.

Page 59: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Dementia and Delirium in the

elderly.

Psychiatric disorders in the

elderly.

Cerebrovascular disorders in the

elderly

Urinary Incontinence.

Thyroid diseases in the elderly

Prescribing for the elderly.

Immunosenescence and

susceptibility to infections.

Nutrition and feeding problems

in the elderly.

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

70% for the theoretical exam and 30% for the practical one.

√ √

√ √

Page 60: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

THE MERCK MANUAL OF GERIATRICS

Latest Edition

Suggested Extra Reading

Journals and Periodicals, others

www.medscape .com

Course Instructor: Prof Dr Suzan abo raya Signature:

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:

Department Head: Prof Dr/ Yehia Ghanem Signature:

Page 61: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: internal medicine

Course Information

Course Code: 051518150 Course Name: Hematology

Program in which the Course is Given: Master Degree in Internal Medicine

Number of Credit Hours2 Theoretical Clinical/Practical

Course Aims

This program is designed to provide candidates with the basic knowledge and skills that

allow them to:

1.1. Diagnose and manage successfully common diseases of blood and bone marrow.

Intended Learning Outcomes (ILOs)

Program ILO(refer to program

matrix)

Course ILOs

A. Knowledge

and

Understanding

By the end of the program the

students will be able to:

A1- Describe the characteristics

of different diseases in different

internal medicine subspecialties.

By the end of the course the PG students

will be able to:

a1- Identify the characteristics of

hematopoisis and their disorders.

a2-Describe the characteristics of

haemostasis and their disorders.

1 1

Page 62: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A3- Discuss the etiology,

pathogenesis and clinical

presentation of the different

diseases of internal medicine.

A9- Identify the common

diagnostic and laboratory tests

necessary to achieve the diagnosis

of common diseases.

A11- Describe the different

management protocols of diseases

of internal medicine.

A12- Recall range of adverse drug

reactions to commonly used drugs,

including complementary

medicine.

A13- Recall drugs requiring

therapeutic drug monitoring and

interpret results.

a3- Outline the pathogenesis of different

haematological disorders (environmental,

genetic and drug induced)

a4- Discuss the clinical presentations and

differential diagnosis of different benign and

malignant disorders.

a5- List the common diagnostic and

laboratory tests used to diagnose different

haematological disorders .

a6- Name the new and ultra-sensitive tests

necessary to achieve the diagnosis .

a7- Select the most appropriate test to the

matched disease.

a8- identify Basic facts regarding the drugs

used in the field of haematology, as well as

blood and blood products .

a9- Describe the different algorithms and

guidelines in managing malignant blood

disorders (acute and chronic leukaemias,

lymphomas and myelomas)

a10- Recognize a range of adverse drug

reactions to commonly used

chemotherapeutic drugs.

a11- Illustrate how to minimize these adverse

drug reactions.

a12- Identify drugs requiring therapeutic

drug monitoring specially hormonal and

chemotherapeutic agents.

Page 63: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A15- Recognize the main recent

advances in the diagnosis &

management of different internal

medicine diseases.

a13- Outline local procedures as monitoring

anticoagulant drugs and common side

effects of cancer chemotherapy.

a14- Outline the use of recent sensitive PET

scan to monitor patient’s with lymphoma

a15- Identify Main scientific advances in the

diagnosis and management of haematological

diseases including anaemia, coagulation

disturbance and haematological

malignancies.

a16- Outline the management of blood

disorders in certain populations as during

pregnancy and elderly.

B. Intellectual

skills

By the end of the program the

students will be able to:

B1- Use the structural &

functional characteristics of the

different body systems to explain

the different pathological

problems.

B2-Analyze the clinical signs and

symptoms of different internal

medicine problems to reach a

diagnosis /differential diagnosis.

By the end of the course the PG students

will be able to:

b1- Describe the structure of the bone

marrow, lymph node and spleen to explain

the different pathological problems of blood

diseases.

b2- Review the physiological features of the

bone marrow, lymph node and spleen to

explain the different pathological problems

of blood diseases.

b3- use the clinical signs and symptoms of

haematological problems to reach a correct

diagnosis in the shortest time.

b4-Interpret the clinical signs and symptoms

in an organized algorithm to apply a fruitful

differential diagnosis.

Page 64: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B5- Plan the appropriate

investigations for each patient to

help reaching the diagnosis.

B6- Interpret radiodiagnostic

films, blood gas, hematological

and biochemical reports of the

patient.

B8- Solve some complex

atypical problems.

B10- Choose /compare between

different treatment modalities

based on best practice evidence

and cost effectiveness.

B11- Plan appropriate

management lines for individual

patients presenting with the most

common medical disorders.

b5- Select the appropriate investigations (

CBC, bone marrow aspiration, coagulation

parameters, imaging) to reach a diagnosis.

b6- Design a plan of sequential and logic

investigations to reach the diagnosis.

b7- Interpret, analyze & evaluate the

laboratory informations to establish

diagnosis and appropriate treatment planning.

b8- Read the radio diagnostic films properly.

b9- Solve some haematological problems

according to the available data.

b10- write scientific systematic approach to a

anaemia

b11- Sketch the diagnostic algorithms to

help the approach to atypical cases.

b12- Use evidence based medicine to select

the best treatment modality to the matched

hematological disease.

b13- Evaluate risks imposed to patient or

managing team during chemotherapy use

and during blood transfusion.

b14- Construct the steps of appropriate

management on an individual base.

b15- Use the new drugs cautiously and after

consultation of other professional team

member.

Page 65: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C.Professional

and Practical

Skills

By the end of the program the

students will be able to:

C1- Interview patients/families

about the particulars of the

medical condition for which they

seek care, with specific attention

to behavioral, psychosocial,

environmental, and family unit

correlates of disease.

C2- Perform full clinical

examination of different systems

and organs related to internal

medicine diseases.

C3- Diagnose and provide

management to all common

internal medicine diseases

including acute episodic medical

illness.

By the end of the course the PG students

will be able to:

c1- Construct a proper history taking from

the patient.

c 2- Interview the patient about his

behavioral, psychosocial and environmental

conditions which could be related to his

hematological disease.

c 3- Interview the patient family about the

patient hematological disease.

c4- Perform full clinical general examination

and recognize the findings related to blood

diseases.

c5- Perform full clinical systemic

examination and recognize the findings

related to blood diseases.

c6- Hold the diagnosis of most of the blood

diseases.

c7-Judge the appropriate time to consult

others and encourage others to do so.

c8 -Score the clinical and laboratory

manifestations of the patient in order to

carry on appropriate staging of certain

diseases like leukemia and lymphomas

c9- use appropriately the antibiotic regimens

for treatment and prophylaxis in immune-

suppressed patient.

Page 66: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

c10- Manage the complications of blood

transfusion.

c11-Monitor anticoagulation.

D. General

Skills

By the end of the program the

students will be able to:

D1- Retrieve information from all

sources (printed, electronic,

communications etc…) at as

minimum time as possible.

D4-Verify the accuracy of

scientific material on basis of best

evidence in Medicine and in

practice.

D6-Present scientific information

to individuals and groups of

different educational and social

levels

D7- Work effectively within a

team.

D8- communicates effectively

with different members of the

internal medicine subspecialties.

D9- Communicate effectively with

patients and their families.

By the end of the course the students will

be able to:

d1- Search on the internet for the most

recent advances to learn more about

different diseases pathology, clinical

presentation and diagnosis.

d 2- Locate the information needed as easily

as possible from textbooks.

d3-Insure the accuracy of scientific material

on evidence based medicine .

d4- Inform the patient and his family about

the risks and prognosis of his blood disease.

d5- Lead the medical (Inpatient and

outpatient) team.

d6- exchange the different opinions with

different members of the team and select the

most adherent one to the guide lines.

d7-Present information clearly to the

different members of the internal medicine

subspecialties.

Page 67: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

d8- Advise the patients and their families to

avoid the risk factors that led to

development of the disease such as smoking.

d9-Translate the scientific information to the

patients using simple words and easy

language.

d10- Practice the medical orientation of

patients in different opportunities.

Course Content(Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Haematopoiesis

Anaemias

Haemostasis

Leucocyticdisisorders

Acute and chronic leukaemias

Myeloproliferative disorders

Polycythaemia

Multiple myeloma

Lymphomas

Blood transfusion

Please check () the appropriate method.

Page 68: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment Mid-term %

End of term 100 %

Distribution of Marks

Written Exam 70 %

Practical/Clinical Exam 30 %

Others %

List of Textbooks and References

Lecture Notes available

Course Text Books Oxford handbook of clinical haematology

Suggested Extra Reading Postgraduate haematology

Journals and Periodicals, others Blood- Haematologica

Course Instructor: Prof Dr/ Nahla Abdelmoneim Hamed Signature:

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:

Department Head: Prof Dr/ Yehia Ghanem Signature:

Page 69: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 051808150 Course Name: Medical Microbiology for internal medicine

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 1/2

Theoretical Practical

Course Aims

-Recognizing the main factors and preventive measures concerning hospital infection .

-Grasping the proper evaluation and application of sterilization and disinfection procedures.

-Understanding of the importance of properly designed and tailored antimicrobial policies .

-Selection of the proper microbiological investigation for the studied disease categories,

-Evaluation of the growing body of infections in the nowadays increasing number of immuno-

compromised patients

-Knowledge of the threats of global influenza pandemics with analysis of the situation in Egypt

Intended Learning Outcomes (ILOs)

Program ILO (refer to the

program)

Course ILOs

A. Knowledge and

Understanding

By the end of the program the

PG students will be able to:

A 2 -Identify the effect of

different factors involved in the

pathogenesis different diseases

of internal medicine

A3- Discuss the etiology,

pathogenesis and clinical

presentation of the different

diseases of internal medicine.

By the end of the program the PG

students will be able to:

a1- Identify the categories and causal

factors and organisms of hospital

acquired infection

a2- Discuss the definition of

sterilization and disinfection procedures

and their available methods.

a3- Recall the definitions and causative

pathogens in blood stream infection

according to the case

a4- Recognize the main pathogens

imposing infection risks to the

1/2

Page 70: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A11- Describe the different

management protocols of

diseases of internal medicine.

immuno-compromised patients.

a5- Describe the structure, pathogenesis

and distribution of the different virus

types causing influenza in humans.

a6- Describe the main groups of

antimicrobial drugs , their mechanism

of action ,and the ways for

development of drug resistance.

B. Intellectual

skills

By the end of the program the

PG student will be able to:

B3 - Select from different

diagnostic alternatives to reach

a final diagnosis.

B5-Plan the appropriate

investigations for each patient

to help reaching the diagnosis.

B7-Recognize the different risks

of diagnostic procedures, and

how to avoid or manage them.

By the end of the program the PG

student will be able to:

b1- Evaluate the main approaches and

policies for the control of hospital

infection

b2- Choose the suitable method of

sterilization or disinfection appropriate

to the situation.

b3- Compare the diagnostic methods

applied in suspected cases of

septicemia and bacteremia.

b4- Value the proper selection of

antimicrobial drug according to the

chosen policy in treatment of different

pathogens

b5- Apprehend the laboratory

guidelines for diagnosis of infection in

the immuno-compromised, with

analysis of infection preventive

measures.

b6- Compare infection by different

types of influenza in Egypt and the

main approaches for their treatment and

prevention.

Page 71: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C. Professional

and Practical

Skills

______________

_______________

D. General Skills

_______________

________________

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small group

discussion

Other

s

1 Antimicrobial therapy. √

2 Sterilization, disinfection &

antisepsis

3 Hospital infection control. √

4 Infection in

immunocompromised host

5 Bacteremia, septicemia,

endocarditis.

6 Avian flu & immunization √

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

Written Exam :MCQs 100 %

Practical/Clinical Exam %

Others %

Page 72: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

Microbiology in clinical practice

Suggested Extra Reading

Related periodicals

Journals and Periodicals, others

Course Instructor: Prof Dr/ Malak AboKhatwa Signature:

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature:

Department Head: Prof Dr/ Yehia Ghanem Signature:

Page 73: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code 05150805 Course Name: nephrology

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 2 hours

Theoretical Practical

Course Aims :

Realize the importance of common renal diseases and the impact of renal failure acute and chronic on

the individual and community performance and realize the epidemiology of common real disorders all

over the world.

Provide students with essential Knowledge and skills to diagnose and manage common renal disease

including realization of importance of early referral to specialist when needed. Provide students with

appropriate knowledge and skills regarding renal replacement therapy. These will be done through

lectures, clinical rounds , self-learning including case studies tutorial small group discussions,

scientific meetings, practical classes, journal clubs.

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs

A. Knowledge and

Understanding

By the end of the program the

PG students will be able to:

A1- Describe the characteristics of

different diseases in different

internal medicine subspecialties.

By the end of the program the PG

students will be able to:

a1- Define the characteristics of

glomerulo-nephropathies.

a2- Describe the characteristics of

tubulo-interstitial diseases.

a3- Discuss the characteristics of chronic

kidney disease.

One one

Page 74: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A2- Identify the effect of different

factors involved in the

pathogenesis different diseases of

internal medicine.

A3- Discuss the etiology,

pathogenesis and clinical

presentation of the different

diseases of internal medicine.

A5- Describe different types of

diseases related to all body

systems and ways of

management at all age groups

starting from adolescence.

A6- Identify the etiology,

genetics, pathology and prognosis

of the most common physical and

mental diseases in the community.

a4- Distinguish the criteria of obstructive

uropathy.

a5- Recognize the factors involved in the

pathogenesis glomerulopathies :

immunologic, genetic, hemodynamic,

environmental, iatrogenic (drugs and

medications).

a6- Trace the factors that accelerate

deterioration of renal functions in chronic

kidney diseases

a7- List the etiology of different renal

diseases.

a8- Describe concisely the pathology and

the pathogenesis of the main renal

diseases.

a9- Discuss the clinical presentation of

the different renal diseases and

syndromes together with electrolyte,

acid base disorders..

a10- Review the renal manifestations of

different systemic diseases

a11- Explain the effects of the kidney

and urinary tract diseases on different

body systems .

a12- Identify the genetic predisposition

to the most common renal diseases

(hypertension, diabetes,

tubulointerstitial, glomerulonephritis)

and renal syndromes( AKI,CKD) in the

community.

a13-Describe the pathology of different

types of glomerulopathies including the

electron microscopic pictures.

Page 75: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A7- Appreciate the clinical

spectrum of multi-systemic

common medical conditions.

A8- Trace the clinical symptoms

related to different body systems.

A10- Appreciate the impacts of

professional practice on the

environment.

A11- Describe the different

management protocols of diseases

of internal medicine.

A15- Recognize the main recent

advances in the diagnosis &

management of different internal

medicine diseases.

a14- Predict the prognosis of different

renal diseases.

a15- Recognize the clinical

manifestations of multi-systemic

common medical conditions affecting

kidney as hypertension, diabetes,

collagenic and vasculitic diseases.

a16- Describe the water and electrolyte

homeostasis and their disorders as well

as their effects on different body organs.

a17- Discuss common acid base disorders

and their manifestations on different body

systems.

a18- State the cardiovascular, pulmonary

and gastrointestinal symptoms related to

different kidney diseases.

a19- List the neurological,

musculoskeletal ,endocrinal and

metabolic symptoms due kidney diseases.

A20- Define the different hazards and

effects of different dialysis techniques on

the patients and medical team .

a21- identify the hazards of dialysis on

the environment.

a22- Recognize the updated management

protocols of important renal diseases and

syndromes.

a23- Review the different techniques of

renal replacement therapies.

Page 76: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A16- Proper use of IT in order to

be up to date as regard the science

of internal medicine and its

subspecialties.

A17- Recognize of the essential

principals of scientific medical

research.

A18- Mention the principles and

fundamentals of ethics and legal

aspects of scientific research in the

field of internal medicine.

a24- Trace the main recent advances in

the diagnosis & management of different

renal diseases ,syndromes (AKI,

CKD<GN)

a25- Recognize renal replacement

therapies (principles, indications,

complications).

a26-Discuss immunology of kidney

transplantation.

a27- Use the network research in the

proper way and right time to update his

knowledge about different renal

problems and renal replacement

therapies.

a28- Define the principals of scientific

medical research specially in critical

patients such those with renal diseases or

on renal replacement therapy.

a29- Define the ethical and legal aspects

of scientific research and practicing of

nephrology and renal replacement

therapy.

B. Intellectual

skills

By the end of the program the

PG students will be able to:

B1- Use the structural &

functional characteristics of the

different body systems to explain

the different pathological

problems.

By the end of the program the PG

students will be able to:

b1-Illusterate the anatomy and histology

of the kidney and urinary tract.

b2- Review the physiological functions of

the kidney and urinary tract.

Page 77: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B2-Analyze the clinical signs and

symptoms of different internal

medicine problems to reach a

diagnosis /differential diagnosis.

B3- Select from different

diagnostic alternatives to reach a

final diagnosis.

B4- Analyze , interpret, and

objectively evaluate the history

data and physical signs in order to

select the appropriate diagnostic

procedures required.

B6- Interpret radiodiagnostic

films, blood gas, hematological

and biochemical reports of the

patient.

b3- Relate the derangements in structure

and functions to the different pathological

changes of the kidney..

b4 - Detect the symptoms & signs of

kidney diseases.

b5 – Integrate the clinical symptoms and

signs to reach a final diagnosis and proper

decision making.

b6- analyze and interpret information

reaching a logic conclusion to grasp the

final diagnosis.

b7- Analyze the data available either

history data or physical signs in order to

determine the need for further diagnostic

tools to diagnose the renal diseases.

b8- Select the most appropriate diagnostic

tool to reach a correct diagnosis of a renal

disease.

b9-Recognize the proper situations of the

renal diseases in which there is a need to

refer the patient to a nephrologist.

b10- Select and interpret the proper

laboratory investigations for each case .

b11- Outline the use of recent sensitive

renal profile assays to monitor patient

progress.

b12- Interpret radio-diagnostic films

including ultrasonographic and CT

images.

Page 78: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C. Professional

and Practical

Skills

By the end of the program the

PG students will be able to:

C1- Interview patients/families

about the particulars of the medical

condition for which they seek care,

with specific attention to

behavioral, psychosocial,

environmental, and family unit

correlates of disease.

C2- Perform full clinical

examination of different systems

and organs related to internal

medicine diseases.

C3- Diagnose and provide

management to all common internal

medicine diseases including acute

episodic medical illness.

C4- Evaluate patients functionally

By the end of the program the PG

students will be able to:

c1- Construct a proper history from the

patient about his renal disease for which

the help was sought.

c 2- Interview the patient about his

behavioral, psychosocial and

environmental conditions which could be

related to his renal disease.

c 3- Interview the patient family about the

patient renal disease.

c4- Perform full clinical examination of

different systems and organs (general and

local) for patients with different renal

syndromes putting in mind that renal

condition could affect any system of the

body..

c5- Diagnose , stabilize and refer patients

with AKI.

c6- Diagnose and treat simple acid base

and, electrolyte disorder

c7- Diagnose and refer patients with renal

disease that need specific management by

nephrology specialist.

c 8- Assess the overall mental and

psychological state of the patient.

c9- Evaluate the functional status of the

elderly patient

c10- Assess the degree of independency.

Page 79: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C5 - Write medical reports

C6 -Integrate patient’s

symptomatology, historic data,

abnormal physical signs and

investigations into a comprehensive

differential diagnosis in various

body systems affection.

C7- Perform procedures such as

pleural tap, paracentesis, lumbar

puncture, and attendance of Intra-

articular injections &

arthrocentesis, Ultrasound and echo

sessions,Endoscopy sessions,

ERCP session, Hemodialysis

C8 - Determine the indications,

contraindications, and

complications of various

procedures listed.

c11 – Write full clear and comprehensive

medical reports to a renal patients to help

the authorities determining his technical

and financial support needs.

c12 –Analyze the patient’s symptoms and

historic data,

c13- Integrate the abnormal physical signs

and investigations

c14- Construct a proper differential

diagnosis

c15- Realize the different hemodialysis

and peritoneal dialysis modalities

c 16 – List the indications and

contraindications of hemodialysis and

peritoneal dialysis ,other modalities of

treatment like hemofiltration,

plasmapheresis., transplantation.

c17- Predict and manage the

complications of hemodialysis and

peritoneal dialysis ,

D. General Skills

By the end of the program the

PG students will be able to:

D1- Retrieve information from all

sources ( printed, electronic,

communications etc…) at as

minimum time as possible.

By the end of the program the PG

students will be able to:

d1- Extrapolate the information from

electronic sources.

d2-Quote the needed information from

textbooks in short time.

Page 80: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

D3- Recognize the importance of

being an independent self-learner

and acquire the capability to search

through medical data base .

D4-Verify the accuracy of scientific

material on basis of best evidence

in Medicine and in practice.

D7- Work effectively within a

team.

D8- communicates effectively with

different members of the internal

medicine subspecialties .

D9- Communicate effectively with

patients and their families.

d3- Adopt the principles of lifelong

learning.

d4- Employ the evidence based medicine

in verifying the accuracy of the scientific

information.

d5- Develop appropriate professional

attitudes.

d6 – Specify the various problems and

issues related to patients.

d7- Lead the team work in the ward or in

dialysis units.

d8- Appraise the team work and

encourage others to join.

d9- present information clearly to the

different members of nephrology unit.

d10- Communicate effectively using

verbal and non verbal methods with

people at various levels of education,

intelligence, social and cultural strata.

d11- Utilize effective methods of written

communication to transfer ideas and

information in official and non official

settings.

d12- Present information to others

according to their educational level

utilizing verbal and available audiovisual

tools.

Page 81: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Investigations of renal diseases, urinary

tract. √

Acid base balance, electrolyte disorders √

Renal syndromes, Acute

Glomerulonephritis √ √ √

Primary glomerulopathy , nephrotic

syndrome. √ √ √

Tubulointerstitial diseases ,renal tubular

disorders √ √

Acute kidney injury (AKI) √ √ √

Chronic kidney disease (CKD) √ √ √

The kidney in systemic disease (part I)

and part II √ √ √

Hypertension and the kidney. √ √

Renal replacement therapy √ √

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted.

Distribution of Marks

Essay 25%,MCQ 45%, One clinical case 15%, OSCE/OSPE

15%

√ √

√ √

Page 82: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

List of Textbooks and References

Lecture Notes or

Print-out of given lectures

Course Text Books

Current nephrology, Kumar, Clark textbook of clinical Medicine (renal

disease, water electrolyte, acid base chapters). Macleod clinical

examination.

Suggested Extra

Reading

Related to weekly scientific meeting ,case studies given during Semester.

Journals and

Periodicals, others

Course Instructor: Prof Dr Yasser Neanae Signature:

Program Coordinator: Prof Dr/ Mohamed Samy Gad signature:

Department Head: Prof Dr/ Yehia Ghanem Signature:

Page 83: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 052108150 Course Name: Neuro-Psychiatry for Internal Medicine

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 2

Theoretical Practical

Course Aims: To allow the candidates to diagnose and treat patients with a variety of common

neuro-psychiatric disorders.

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs

A. Knowledge and

Understanding

By the end of the program the

PG students will be able to:

A1- Describe the characteristics

of different diseases in different

internal medicine subspecialties.

A2- Identify the effect of

different factors involved in the

pathogenesis of different

diseases of internal medicine.

A3- Discuss the etiology,

pathogenesis and clinical

presentation of the different

diseases of internal medicine.

By the end of the program the PG

students will be able to:

a1- Define the characteristics of different

neurological diseases.

a2- List the characteristics of different

psychiatric diseases.

a3- Trace the different factors involved in

the pathogenesis of different neurological

diseases (immune mediated, vascular,

degenerative and infectious)

a4- Name the different factors involved in

the pathogenesis of different psychiatric

diseases (hereditary and environmental)

a5- List the etiology, describe the

pathogenesis and trace the clinical

presentation of the common neurological

diseases such as stroke, epilepsy, muscle

diseases, peripheral neuropathy,

paraplegia, headache and cranial pains.

1 1

Page 84: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A6- Identify the etiology,

genetics, pathology and

prognosis of the most common

physical and mental diseases in

the community.

A9- Identify the common

diagnostic and laboratory tests

necessary to achieve the diagnosis

of common diseases.

A11- Describe the different

management protocols of diseases

of internal medicine.

A15- Recognize the main recent

advances in the diagnosis &

management of different internal

medicine diseases.

a6- List the etiology, describe the

pathogenesis and trace the clinical

presentation of the common psychiatric

diseases such as somatoform disorders,

anxiety, delirium, dementia and mood

disorders.

a7- Identify the genetic predisposition to

the most common neuro-psychiatric

diseases in the community.

a8-Describe the pathology of different

types of neuro-psychiatric diseases

a9- Predict the prognosis of different

neuro-psychiatric diseases .

a10- List the common laboratory tests

necessary to achieve the diagnosis of

common neurological diseases.

a11-Name some commonly used diagnostic

tools such as different imaging modalities ,

electrophysiological study, electro-

encephalogram and sleep lab.

a12- Identify the proper way of treatment

of the main neurological diseases

encountered in the community such as

cerebro-vascular stroke and epilepsy,

a13- Select the appropriate line of

treatment from the different management

protocols of diseases such as

cerebrovascular stroke , epilepsy .

a14- Trace the main recent advances in the

diagnosis of different neuro-psychiatric

diseases.

Page 85: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

a15- Trace the main recent advances in the

management of different neuro-psychiatric

diseases.

B. Intellectual

skills

By the end of the program the

PG students will be able to:

B1- Use the structural &

functional characteristics of the

different body systems to explain

the different pathological

problems.

B2-Analyze the clinical signs

and symptoms of different

internal medicine problems to

reach a diagnosis /differential

diagnosis.

B4- Analyze , interpret, and

objectively evaluate the history

data and physical signs in order

to select the appropriate

diagnostic procedures required.

B5- Plan the appropriate

investigations for each patient to

help reaching the diagnosis.

By the end of the program the PG

students will be able to:

b1-Illusterate the anatomy and histology of

the nervous system.

b2- Review the physiological functions of

the different parts of the nervous system.

b3- Relate the derangements in structure

and functions to the different pathological

changes of the nervous system.

b4- Interpret the clinical data for

appropriate clinical reasoning and decision

in difficult neurological situations.

b5-apply the knowledge learned to

perform differential diagnosis related to

these diseases.

b6- Interpret the history data.

b7- Trace the physical signs.

b8- Integrate the history data and the

physical signs to extrapolate the proper

diagnosis.

b9- Select the proper imaging technique.

b10- Order the most appropriate

laboratory tests

Page 86: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B6- Interpret radiodiagnostic

films, blood gas, hematological

and biochemical reports of the

patient.

B8- Solve some complex

atypical problems.

B10- Choose /compare between

different treatment modalities

based on best practice evidence

and cost effectiveness.

B11- plan appropriate

management lines for individual

patients presenting with the

most common medical

disorders.

b11- Define the positive radiological signs

b12- Correlate the hematological and

biochemical results of the patient with his

radiological findings.

b13- Recognize some complex atypical

problems of neuro-psychiatric disorders

and try to solve them.

b14- Select the best treatment modalities

based on best practice evidence and cost

effectiveness.

b15-Prescribe the neuro-psychiatric drugs

in the recommended doses .

b16- Construct the appropriate

management plan with respect of the

individual variations.

b17- Follow up the patient closely.

C. Professional

and Practical

Skills

By the end of the program the

PG students will be able to:

C1- Interview patients/families

about the particulars of the

medical condition for which they

seek care, with specific attention

to behavioral, psychosocial,

environmental, and family unit

correlates of disease.

By the end of the program the PG

students will be able to:

c1- Construct a proper history from the

patient about his disease for which the help

was sought.

c 2- Interview the patient about his

behavioral, psychosocial and

environmental conditions which could be

related to his disease.

c 3- Interview the patient family about the

patient disease.

Page 87: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C2- Perform full clinical

examination of different systems

and organs related to internal

medicine diseases.

C3- Diagnose and provide

management to all common

internal medicine diseases

including acute episodic medical

illness.

c4- Conduct thorough clinical examination

of the nervous system as well as the heart,

chest and abdomen.

a5- Diagnose , stabilize and refer patients

with acute neurological emeregencies.

c6- Diagnose and treat simple

uncomplicated neurologic diseases.

c7- Diagnose and refer patient with neuro-

psychiatric disease that need specific

management by a neuro-psychiatrist

D. General Skills

By the end of the program the

PG students will be able to:

D1- Retrieve information from all

sources ( printed, electronic,

communications etc…).

D3- Recognize the importance of

being an independent self-learner

and acquire the capability to

search through medical data base .

D4- Lead the medical (Inpatient

and outpatient) team

D5- communicate effectively with

different members of the team

By the end of the program the PG

students will be able to:

d1. Use different sources of information to

collect and analyze the data.

d2 - Adopt the principles of lifelong

learning.

d3. Interact with students, junior staff and

colleague within this issue

d4-manage time effectively

d5- work as team leader in situations

comparable to his work level

d6- Present information to others

according to their educational level

utilizing verbal and available audiovisual

tools

Page 88: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small group

discussion Others

Neurovascular disorders

(atherosclerosis and cerebrovascular

strokes).

√ √ √

CNS infections (leptominigitis,

encephalitis, cavernous sinus

thrombosis, slow virus infection in

brief).

Neurodegenerative disorders (senile

dementia, Alzheimer, parkinsonism)

and multiple sclerosis.

Neurotrauma. CNS tumors (DD of a

mass lesion in CT scan) √

Neuromuscular diseases. √

Epilepsy √

.Coma and syncope. √

Neurological manifestations of

metabolic and toxic disorders,

nutritional and collagenic disease.

Neurological examination

(paraparesis). Hemiparesis and facial

weakness.

√ √

Cervical and lumbar disc prolapse

and spondylosis. √

Approach to a patient with

polyneuropathy. √ √

Approach to a patient with headache.

√ √

Psychiatry:

Introduction (General). √

Psychopharmacology. √

Anxiety and depression. √ √ √

Organic brain disorders (Delirium). √

Personality disorders. √ √ √

Drug abuse. √

Delirium and Dementia √ √ √

. Somatoform Disorders. √

Page 89: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

70% theoretical exam

30% clinical exam,

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor: Prof Dr/ Aymen Eissa Signature

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature

Department Head: Prof Dr/ Yehia Ghanem Signature

Page 90: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 052808150 Course Name: Pathology for internal medicine I

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 1/2

Theoretical Practical

Course Aims

1-to apply the basic pathophysiologic concepts in predicting disease manifestations and sequelae

2-to use an approach to interpret the histological and gross changes in different disease processes to

distinguish inflammatory, vascular, degenerative, congenital and neoplastic conditions from each

other

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs

A. Knowledge

and

Understandi

ng

By the end of the program the

students will be able to:

A6- Identify the etiology,

genetics, pathology and

prognosis of the most common

physical and mental diseases in

the community.

By the end of the program the PG

students will be able to:

a1-know the standardized terminology to

describe human pathology and disease

processes

a2-identify the basic knowledge of

inflammatory reaction

a3-describe the morphologic patterns , the

fate and complications of of acute

inflammation.

1/2

Page 91: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

a4-identify the effect of different factors

involved in wound healing

a5-discuss the incidence, the etiology, the

pathogenesis and complications of

ischemic heart diseases

a6- describe the different forms of

endocarditis and the pathogenesis of each

a7-identify the patho-physiology of heart

failure and its clinical effects on different

body organs

a8-discuss the pathology of pulmonary

infections and the different types of

pneumonia

a9-describe the pathogenesis of obstructive

pulmonary diseases and the complications

of each

a10 discuss the pathology of gastritis

a11-discuss the pathology of peptic ulcer

disease and its complications

a12-know the pathologic basis of

inflammatory bowel diseases

a11-describe the types of hepatitis ,their

fate and liver cirrhosis

a12-describe the different forms of primary

liver tumors and the pathology of each

a13-discuss the pathology of thyroid

diseases

a14- discuss the pathology of diabetes

mellitus and its systemic complications

a15-discuss the pathology of adrenal cortex

diseases and adrenal medulla

a16-identify the pathology of

cerebrovascular diseases

Page 92: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

a17-identify the common diagnostic tools

required in the diagnosis of difficult cases

a18-recognize the recent advanced research

results regarding the pathogenesis of

different pathological disorders of the heart

and the GIT

a19-discuss the role of multidisciplinary

team in discussion and management of

cases

B. Intellectual

skills

By the end of the program the

students will be able to:

B1- Use the structural &

functional characteristics of the

different body systems to explain

the different pathological

problems.

By the end of the program the PG

students will be able to:

b1-correlate between the pathological

changes of inflammation and the clinical

signs.

b2-analyse the different factors that impede

wound healing.

b3-classsify the different risk factors of

atherosclerosis and how to modify them

b4-correlate between the pathological

changes in ischemic heart disease and the

laboratory findings.

b5-interpret the different complications of

ischemic heart disease and their

pathological correlation.

b6-classify the different forms of

obstructive pulmomnary diseases and their

possible complications.

b7- analyze the sources of pulmonary

infections and their possible modes of

management.

b8-classify the different forms of hepatitis

and their management.

b9-classify the different forms of primary

liver tumors and their pathogenesis.

Page 93: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

b10-recognize the risk factors for gastritis

and peptic ulcer.

b11-recognize the immunopathologic basis

of inflammatory bowel diseases.

b12-compare between the etiological

factors causing hepatitis regarding their

epidemiology and modes of infection.

b13-recognize the different forms of

cerebrovascular disorders.

b14-Recognize the different endocrinal

disorders of thyroid, adrenal and systemic

manifestation of diabetes.

C. Professional

and

Practical

Skills

By the end of the program the

students will be able to:

C7- Perform procedures such as

pleural tap, paracentesis, lumbar

puncture, and attendance of Intra-

articular injections &

arthrocentesis, Ultrasound and

echo sessions, Endoscopy

sessions, ERCP session,

Hemodialysis

By the end of the program the PG

students will be able to:

c1-diagnose gross specimens of different

body organs with inflammation

c2-evaluate photos and gross specimens of

hearts with ischemic changes and valvular

disease.

c3-evaluate gross specimens of obstructive

pulmonary diseases like bronchiectasis.

c4-evaluate gross specimens of pulmonary

infections and pneumonias.

c5-evaluate photos for different forms of

hepatitis and liver tumors.

c6-evaluate gross specimens and photos of

thyroid diseases.

c7-analyse a panel of special stains and

immunohistochemical stains to choose

which is beneficial in th diagnosis of

particular case.

Page 94: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Inflammation, repair + + +

Ischemic heart diseases + + +

Valvular heart diseases + +

Obstructive respiratory diseases + + +

Pulmonary infections +

Gastritis, peptic ulcer +

Inflammatory bowel diseases + +

Hepatitis, liver tumors + + +

Thyroid, adrenal, diabetes +

Cerebrovascular disorders +

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

Written Exam :MCQs 100 %

Practical/Clinical Exam %

Others %

D. General

Skills

By the end of the program the

PG students will be able to

____________________

By the end of the program the PG

students will be able to:

____________________

+ +

Page 95: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

List of Textbooks and References

Lecture Notes

Print-out of given lectures, lecture notes

prepared by the pathology department

Course Text Books

Robins pathologic basis of diseases 8 th edition

Suggested Extra Reading

Concise pathology

Journals and Periodicals, others

Course Instructor: prof dr Omayma el sakka Signature

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature

Department Head: Prof. Dr Yehia Ghanem Signature

Page 96: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 050608150 Course Name: Clinical Pharmacology for Internal Medicine I

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 1/2

Theoretical Practical

Course Aims

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs

A. Knowledge and

Understanding

By the end of the program the

students will be able to:

A11- Describe the different

management protocols of diseases

of internal medicine.

By the end of the program the PG

students will be able to:

a1- Describe the different management

protocols of hypertension.

a2- Define the different management

protocols of asthma.

a3- List the different management protocols

of arrhythmia.

a4- Discuss the different management

protocols of peptic ulcer, constipation and

diarrhea

a5- Describe the different management

protocols of heart failure.

a6-Identify the different management

protocols of diabetes mellitus.

a7- Describe the different management

protocols of epilepsy.

1/2 -

Page 97: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A12- Recall range of adverse drug

reactions to commonly used

drugs, including complementary

medicine.

A13- Recall drugs requiring

therapeutic drug monitoring and

interpret results.

a8- List a range of adverse drug reactions

to corticosteroids, analgesics, immuno-

suppressives , anticoagulants ..etc

a9- Recognize the drugs that require

therapeutic drug monitoring and interpret

results like anticoagulants, digoxin,

cyclosporin.

B. Intellectual

skills

B10- Choose /compare between

different treatment modalities

based on best practice evidence

and cost effectiveness.

B11- plan appropriate

management lines for individual

patients presenting with the

most common medical

disorders.

By the end of the program the PG

students will be able to:

b1- Select the best modalities of

treatment based on evidence based

medicine.

b2- prescribe the appropriate drugs to the

highly selected patient presenting with

arrhythmias, constipation, diarrhea,

peptic ulcer, heart failure, thyroid

disorders, diabetes mellitus,hypertension,

epilepsy,and asthma.

b3- respect the individual variations as

regard drug efficacy and drug reactions or

side effects.

C. Professional

and Practical

Skills

____________________

________________

D. General Skills

_________________________

_________________

Page 98: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small group

discussion Others

Rational use of drugs √

Antiviral drugs. √

Autacoids. √

Antihypertensives. √

chemotherapy √

Anti-asthmatics √

Anti-arrhythmics √

Coagulants and anticoagulants. √

Peptic ulcer, prokinetics,

antiemetics, constipation and

diarrhea

Drugs and the thyroid √

Heart failure √

Oral anti-diabetic drugs and

insulin √

Immunosuppressives. √

Sedatives.and hypnotics √

Anti-convulsants anti-epileptics √

Analgesics √

corticosteroids √

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

Written Exam :MCQs 100 %

Practical/Clinical Exam %

Others %

Page 99: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor: Prof Dr/ Tarek Abd alazeem Signature

Program Coordinator: Prof Dr/ Mohamed Samy Gad signature

Department Head: Prof Dr/ Yehia Ghanem Signature

Page 100: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 052008150 Course Name: Medical Physiology for Internal Medicine I

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 1/2

Theoretical Practical

Course Aims : to give the postgraduate student a résumé of medical physiology that help him

understanding the physiological derangements that produce the clinical picture of internal medicine

diseases .

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs

A. Knowledge and

Understanding

By the end of the program the

students will be able to:

A2- Identify the effect of

different factors involved in the

pathogenesis different diseases

of internal medicine.

By the end of the program the PG

students must:

a1- Discuss and explain the basic facts ,

theories, of the physiology of the different

body systems in order to understand their

alterations with diseases.

a2- Identify the main scientific advances in

the field of practice

a3- Integrate physiologically the

information about different body systems

in health, stress and disease.

1/2 --

Page 101: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B. Intellectual

skills

By the end of the program the

students will be able to:

B1- Use the structural &

functional characteristics of the

different body systems to explain

the different pathological

problems.

By the end of the program the PG

students will be able to:

b1- Explain, analyze, and evaluate

physiological alteration in different

conditions.

b2- Gather and interpret essential and

accurate information about the physiology

of the different body systems

C. Professional

and Practical

Skills

___________________

_____________________________

D. General Skills

________________

____________________________

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Gastrointestinal secretions and

absorptions.

Ventilation-perfusion relationships. √

Blood coagulation and anticoagulants. √

Carbohydrate homeostasis.

Physiology of hypothalamic-pituitary

adrenal axis.

Voluntary movement. √

Acid base balance. √

GFR, plasma clearance. Renal tubular

functions

Arrhythmias √

Cardiovascular Regulatory mechanisms √

Interstitial fluid formation and its

disorders.

Page 102: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Cardiac reserve and coronary

circulation..

Pain sensation and pain control √

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

End of term written exam 100%

List of Textbooks and References

Lecture Notes √

Print-out of given lectures √

Course Text Books

Guyton and Hall Textbook of Medical

Physiology

Suggested Extra Reading

Ganong’s Review of Medical Physiology

Journals and Periodicals, others

Course Instructor: Prof Dr/ Nihal El-Habachi Signature

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature

Department Head: Prof Dr/ Yehia Ghanem Signature

√ √

Page 103: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 053108150 Course Name: Imaging for Internal Medicine I

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 1

Theoretical Practical

Course Aims

1. Give a quick overview to the internist about the different imaging modalities at hand serving

in diagnosis of the various internal medicine diseases.

2. Identify the key radiological findings for each disease.

3. Be able to identify the different imaging modalities.

4. Be able to identify the salient features of each disease.

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs

A. Knowledge

and

Understandi

ng

Graduate of this program must

have good working knowledge of :

A9- Identify the common diagnostic

and laboratory tests necessary to

achieve the diagnosis of common

diseases.

A15- Recognize the main recent

advances in the diagnosis &

management of different internal

medicine diseases.

By the end of the program the PG

students will be able to:

a1-List the different radiological imaging

techniques available and know how to

differentiate between them.

a2- Identify the applied anatomy of the

different organs according to each imaging

technique.

a3- Define the most important radiological

signs that can be identified on imaging of

the most common diseases.

a4- Identify the new imaging techniques

a5- list the indications and precautions

using these new imaging techniques

0.5 0.5

Page 104: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B. Intellectual

skills

Graduate must be skillful in:

B5- Plan the appropriate

investigations for each patient to

help reaching the diagnosis.

B6- Interpret radiodiagnostic films,

blood gas, hematological and

biochemical reports of the patient.

B7- Recognize the different risks

of diagnostic procedures, and how

to avoid or manage them.

By the end of the program the PG

students will be able to:

b1- Formulate a search questionaire to

identify his aims through imaging of the

patient.

b2- Select the proper and best imaging

modality to reach the diagnosis.

b3- identify the alternative imaging

modality in case of presence of a

contraindication to do certain one.

b4- Identify the best complementary

imaging to avoid misuse of radiological

imaging.

b5- Describe radio-diagnostic signs and

interpret other reports of the patient.

b6- recognize if imaging findings match

the suspected disease.

b7- Appraise the need for further imaging

to confirm the diagnosis

b8- recognize the contraindications ,

disadvantages and side effects of different

imaging modalities.

b9-Appraise the risk/benefit ratio of each

imaging procedure in a critically ill patient.

b10-Identify the proper pre-imaging

preparation to avoid the complications and

recognize the lines of their management

C. Professional

and

Practical

Skills

Graduate must have the following

skills:

C3- Diagnose and provide

management to all common internal

medicine diseases including acute

episodic medical illness.

By the end of the program the PG

students will be able to:

c1-perform a professional interpretation of

the different imaging films and correlate

with the clinical diagnosis.

Page 105: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C5 - Write medical reports

c2- construct a follow up scheme to

identify the progress of the disease on

imaging.

c3-Identify the key points that should be

entailed in every radiological report.

c4- Utilize sound language and medically

correct terms .

D. General

Skills

Graduate must acquire the

following skills:

_____________________

By the end of the program the PG

students will be able to:

_____________________

Course Content

(Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small group

discussion

Others

General knowledge of

imaging procedures

√ √

Chest imaging √ √

GIT imaging √ √

Endocrinal imaging √ √

Musculoskeletal imaging √ √

Neuro imaging √ √

Cardiovascular imaging √ √

Genitourinary imaging √ √

Page 106: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

Written exam 70%

Practical/ clinical exam 30%

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

Suggested Extra Reading

Journals and Periodicals, others

Course Instructor: Prof Dr/ Adel rezk Signature

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature

Department Head: Prof Dr/ Yehia Ghanem Signature

Page 107: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 05150803 Course Name: Rheumatology and Immunology

Program in which the Course is Given: Master Degree in Internal Medicine

Credit Hours : 2.5

Theoretical Practical

Course Aims: The aim of this course is to: graduate a competent skillful physician who can deal with

the common rheumatic diseases in the community, adopt continuous medical education, and can be

involved in research teams and to make the student acquire an acceptable understanding of the science

of clinical immunology & its importance in health &disease, also toenable the students to recognize

the immunological abnormalities in different autoimmune, Immunodeficiency and infectious diseases

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs

A. Knowledge and

Understanding

Graduate of this program

must have good working

knowledge of :

A1- Describe the

characteristics of different

diseases in different internal

medicine subspecialties.

By the end of the program the PG students

will be able to:

a1-Define the characteristics of different

rheumatologic diseases.

a2-Outline the differences between

seropositive and seronegative rheumatic

diseases.

a3-Recognize the spectrum of diseases like

systemic lupus erythematosis and systemic

sclerosis.

a4-Differentiate between muscular diseases

and joint diseases.

a5- Review the special characteristics of

immunological diseases including autoimmune

and immune-complex diseases.

a6- Recognize the immune – deficiency states

1.5 1

Page 108: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A2- Identify the effect of

different factors involved in

the pathogenesis different

diseases of internal medicine.

A3- Discuss the etiology,

pathogenesis and clinical

presentation of the different

diseases of internal medicine.

and how to protect against and manage

opportunistic infections.

a7-list the factors involved in the pathogenesis

of different rheumatologic disease.

a8- Point the environmental factors that

exacerbate the different rheumatologic

diseases.

a9- Name the drugs that induce rheumatologic

doseases specially systemic lupus

erythematosis.

a10- Describe the mechanisms by which disease

processes evolve secondary to alteration of the

immune system.

a11- List the etiology of different

rheumatologic diseases.

a12- Describe the pathogenesis of different

rheumatologic diseases.

a13- Trace the clinical presentations of

different rheumatologic diseases.

a14- List the etiology of immunological

diseases.

a15- Describe the pathogenesis of

immunological diseases like rheumatoid

arthritis, systemic lupus, serum sickness,

congenital and acquired immune-deficient

diseases.

a16- Review the clinical presentations of

various immunological diseases

Page 109: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A6- Identify the etiology,

genetics, pathology and

prognosis of the most

common physical and mental

diseases in the community.

A7- Appreciate the clinical

spectrum of multi-systemic

common medical conditions.

A8- Trace the clinical

symptoms related to different

body systems.

A9- Identify the common

diagnostic and laboratory

tests necessary to achieve the

diagnosis of common

diseases.

A11- Describe the different

management protocols of

diseases of internal medicine.

a17- Recognize the genetic bases of the most

common rheumatologic diseases.

a18- Describe the pathology of the common

rheumatologic diseases.

a19- Predict the prognosis of the common

rheumatologic diseases.

a20- Recognize the multi-systemic nature of

collagenic diseases and vasculitis.

a21- State the cardiovascular, pulmonary and

gastrointestinal symptoms related to different

rheumatologic diseases.

a22- List the neurological, musculoskeletal

,endocrinal and metabolic symptoms due to

rheumatologic diseases.

a23- Select the proper diagnostic and laboratory

tests of common immunological diseases like

detection of auto-antibodies, complement level,

or viral antibodies for AIDS.

a24- Name the recent new diagnostic tests in

this field.

a25- Outline the different management

protocols of rheumatologic diseases such as

rheumatoid arthritis and systemic lupus

erythematosis.

a26- Name the new lines of management of

rheumatologic diseases.

a27- Outline the different management

Page 110: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A12- Recall range of adverse

drug reactions to commonly

used drugs, including

complementary medicine.

A13- Recall drugs requiring

therapeutic drug monitoring

and interpret results.

A14- Outline tools to promote

patient safety and prescribing

including IT system.

A15- Recognize the main

recent advances in the

diagnosis & management of

different internal medicine

diseases.

protocols of different immunological diseases.

a28- List the indications and the guidelines of

use of immunosuppressive drugs, anti-

cytokines, monoclonal antibodies, anti-B cell

therapy, drugs which interfere with T-cell-APC

interactions and intravenous immunoglobulin.

a29- List the adverse drug reactions of Disease-

modifided drugs, nonsteroidal anti inflammatoy

drugs and complementary medicine.

a30- Point to the ways of minimizing the side

effects of the used drugs.

a31- Review the adverse drug reactions to

commonly used drugs like activation of

dormant infections like TB, or development of

systemic lupus or multiple myeloma.

a32- Outline tools to promote patient safety by

investigating patients thoroughly before use of

drugs.

a33- Recognize the drugs requiring therapeutic

drug monitoring and interpret results like

cyclosporines.

a34- Recognize the tools that promote patient

safety and prescribing through good pre

prescribing screening.

a35-Estimate the renal and hepatic functions at

regular times all through drug therapy.

a36- Monitor the blood picture frequently.

a37-Trace the main recent advances in the

laboratory investigations of different

rheumatologic diseases.

a38- Describe the recent lines of management.

a39- Identify the rapid progress in the diagnosis

& management of immunological disorders.

a 40- Revise the main recent advances in the

Page 111: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A16- Proper use of IT in order

to be up to date as regard the

science of internal medicine

and its subspecialities.

A17- Recognize of the

essential principals of

scientific medical research.

A18- Mention the principles

and fundamentals of ethics

and legal aspects of scientific

research in the field of

internal medicine.

diagnosis & management of immunological

disorders.

a41- Search on the network in the proper way

and right time to update his knowledge about

different rheumatologic diseases.

a42- Use the net research to update his

knowledge as regard immunological disorders

a43- Define the essential principals of

scientific medical research specially in the

presence of the era to use the alternative and

complementary medicine in management of

rheumatoid diseases specially rheumatoid

arthritis.

a44- Apply the principals of scientific medical

research on trial new drugs.

a45- List the principles of ethics of scientific

research in the field of rheumatology.

B. Intellectual

skills

Graduate must be skillful in:

B1- Use the structural &

functional characteristics of the

different body systems to

explain the different

pathological problems.

By the end of the program the PG students

will be able to:

b1- Illusterate the structural characteristics of

the musculoskeletal system.

b2-Review of the functional characteristics of

the musculoskeletal system.

b3-Explain the pathological problems of

rheumatoid diseases in relation to the

derangement of structure and function of the

musculoskeletal system.

b4-Illusterate the structure of the immune

Page 112: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B2-Analyze the clinical signs

and symptoms of different

internal medicine problems to

reach a diagnosis /differential

diagnosis.

B3- Select from different

diagnostic alternatives to

reach a final diagnosis.

B4- Analyze , interpret, and

objectively evaluate the

history data and physical

signs in order to select the

appropriate diagnostic

procedures required.

B5- Plan the appropriate

investigations for each patient

to help reaching the diagnosis.

B7- Recognize the different

system.

b5- Review the regulatory mechanisms of the

immune system.

b6- Relate the derangements in structure and

functions of the immune system to the immune

related disorders.

b7 - Detect the symptoms & signs of

rheumatologic diseases.

b8 – Integrate the clinical symptoms and signs

to reach a final diagnosis and proper decision

making.

b9- Follow the diagnostic algorithm of different

rheumatological problems.

b10- Extrapolate the final diagnosis through

skillful application of diagnostic approches.

b11- Integrate the history data and physical

signs.

b12- Select and properly interpret the

appropriate laboratory tests for diagnosis of

rheumatic diseases.

b13- select and properly interpret the

appropriate imaging techniques for diagnosis of

rheumatic diseases.

b14- select and properly interpret the

appropriate neuro-physiological tests for

diagnosis of rheumatic diseases.

b 15- Select the appropriate investigations

matching each patient to help reaching the

diagnosis.

Page 113: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

risks of diagnostic

procedures, and how to avoid

or manage them.

B8- Solve some complex

atypical problems.

B9- Use the analytical

thinking skills in problem-

solving and decision making

skills for appropriate

management of common

conditions.

B11- Plan appropriate

management lines for

individual patients presenting

with the most common

medical disorders.

B13- Apply principles of

scientific research.

B14- Analyze reading of

research and issues related to

the internal medicine.

b16- Design a plan of sequential and logic

investigations to reach the diagnosis in a short

time.

b17- List the different risks of diagnostic

procedures like arthrocentesis.

b18- Define how to avoid or manage these

risks.

b19 -Construct a questionnaire to resolve some

complex problems and adhere to the guide lines

for diagnosis.

b20- Sketch the diagnostic algorithms to help

the approach to atypical cases.

b21- Apply the analytical thinking skills for

appropriate management of common

conditions.

b22- Select the appropriate treatment between

different treatment modalities based on best

practice evidence and cost effectiveness.

b23-Plan the appropriate management lines on

individualized base, respecting the inter-

personal variations.

b24- Construct the appropriate management

lines of the most common immunological

disorders.

b25- Select from different protocols of

treatment respecting the individual variations

among the patients.

b26- Follow the principles of scientific

Page 114: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

research.

b27- Extract the needed information through

proper reading of papers and issues related to

clinical immunology.

b28-Summarize the scientific issues to catch the

needed information.

C. Professional

and Practical

Skills

Graduate must have the

following skills:

C1- Interview patients/families

about the particulars of the

medical condition for which

they seek care, with specific

attention to behavioral,

psychosocial, environmental,

and family unit correlates of

disease.

C2- Perform full clinical

examination of different

systems and organs related to

internal medicine diseases.

C3- Diagnose and provide

management to all common

internal medicine diseases

including acute episodic

medical illness.

By the end of the program the PG students

will be able to:

c1- Construct a proper history from the patient

about his disease for which the help was sought.

c 2- Interview the patient about his behavioral,

psychosocial and environmental conditions

which could be related to his disease.

c 3- Interview the patient family about the

patient disease.

.

c4- Conduct full clinical examination of

different systems and organs related to

rheumatologic diseases.

a5- Diagnose , stabilize and refer patients with

acute rheumatologic emeregencies.

c6- Diagnose and treat simple uncomplicated

rheumatologic diseases.

c7- Diagnose and refer patients with

rheumatologic disease that need specific

management by rheumatologist.

c8- Order base line investigations that help to

diagnose common lipid disorders the graduate

is likely to face in practice.

c9- Relate the results of investigations with the

clinical findings to diagnose the patient’s

illness.

Page 115: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C4- Evaluate patients

functionally

C5 - Write medical reports

C6 -Integrate patient’s

symptomatology, historic data,

abnormal physical signs and

investigations into a

comprehensive differential

diagnosis in various body

systems affection.

C7- Perform procedures such

as pleural tap, paracentesis,

lumbar puncture, and

attendance of Intra-articular

injections & arthrocentesis,

Ultrasound and echo

sessions,Endoscopy sessions,

ERCP session, Hemodialysis

c10- Construct the plan of treatment for

common acute health problems.

c 11- Assess the overall mental and

psychological state of the patient.

c12- Evaluate the functional status of the

patient.

c13- Assess the degree of independency.

c14 – Write full clear and comprehensive

medical .

c15- Use a simple language in writing medical

reports.

c16- Trace the patient’s symptoms and historic

data.

c17- Collect the abnormal physical signs and

investigations and integrate them into a

comprehensive differential diagnosis.

c18- Recognize the Intra-articular injections &

arthrocentesis

c19- interpret the results of synovial fluid

analysis.

c20- Define the indications, contraindications,

and complications of arthrocentesis and intra

articular injections.

c21- Manage the complications as soon as

possible and refer to a specialist if indicated.

Page 116: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C 8 - Determine the

indications, contraindications,

and complications of various

procedures listed.

D. General Skills

Graduate must aquire the

following skills:

D1- Retrieve information from

all sources ( printed, electronic,

communications etc…) at as

minimum time as possible.

D2-Search effectively in med

line data bases to find relevant

articles related to the patient's

conditions.

D3- Recognize the importance

of being an independent self-

learner and acquire the

capability to search through

medical data base .

D4-Verify the accuracy of

scientific material on basis of

best evidence in Medicine and

in practice.

D.5. Assess himself and

identify personal learning

needs.

By the end of the program the PG students

will be able to:

d1- Extrapolate the information from electronic

sources.

d2-Quote the needed information from

textbooks in short time.

d3-Extrapolate the needed information from the

med line data bases.

d4- identify the different web sites for med line

data research.

d5 - Adopt the principles of lifelong learning.

d6- Appraise self learning and develop the

capability to reach the needed information.

d7- Employ the evidence based medicine in

verifying the accuracy of the scientific

information.

d8- Develop appropriate professional attitudes.

d9– Specify the various problems and issues

related to patients.

d10- Define his learning needs to upgrade his

Knowledge and skills.

d11- Lead the team work in the ward or in

dialysis units.

Page 117: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

D7- Work effectively within a

team.

D8- Communicates effectively

with different members of the

internal medicine

subspecialties .

D9- Communicate effectively

with patients and their families.

d12- Appraise the team work and encourage

others to join.

d11- present information clearly to the

different members of rheumatology unit.

d12- Communicate effectively using verbal and

non verbal methods with people at various

levels of education, intelligence, social and

cultural strata.

d13- Utilize effective methods of written

communication to transfer ideas and

information in official and non official settings.

d14 - Provide family support and health

education.

d15- Report the patient and his family about the

risks and prognosis of his rheumatologic

disease.

d16- Present information to others according

to their educational level utilizing verbal and

available audiovisual tools.

Course Content (Units/Topics)

Teaching/Learning Methods

Lecture

s

self

learning

Practical/

Clinical

Small

group

discussion

Journa

l

Club

1 Laboratory investigations of

rheumatic diseases. √

2 Normal articular examination.

3 Clinical examination of rheumatic

patient

√ ()

Page 118: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

4 Clinical examination of a Rheumatoid

Arthritis patient. √

5 Measurements of functional status and

diseases activity in rheumatic

diseases.

6 Clinical examination of SLE patient. √

7 Rheumatoid arthritis

(pathophysiology, clinical picture). √

8 Clinical examination of an

Ankylosing spondylitis patient. √

9 Management of rheumatoid arthritis √

10 Clinical examination of a Systemic

sclerosis patient. √

11 Systemic lupus erythematosus and

Anti-phospholipid syndrome. √

12 Dermatological manifestations of

rheumatic diseases. √

13 Seronegative spondylopathies

(Ankylosing Spondylitis). √

14 Clinical examination of muscular

diseases. √

15 Vasculitides, √

16 Radiological training and evaluation

of different rheumatic diseases. √

17 Behcet & sarcoidosis. √

18 Intra-articular injections &

arthrocentesis √

19 Crystal induced arthritis. √

20 Systemic sclerosis and related

disorders √.

Page 119: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

21 Juvenile chronic arthritis. √

22 Inflammatory muscle diseases and

Polymyalgia Rheumatica. √

23 Osteoporosis & osteoarthritis.

24 Cells of immune system

()

25 HLA –system

()

26 Complement system

()

27 Hypersensitivity reactions

() ()

28 Autoimmunity

() ()

29 Immune complex diseases

() () ()

30 Immune deficiency diseases

() ()

31 AIDS

()

32 Cytokines

()

33 Adhesion molecules

() ()

334 Immune-based therapies

() () ()

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

Mid term exam 30%

Written Exam 40 %

Practical/Clinical Exam 30 %

() √

() √

Page 120: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

Davidson Textbook of Medicine

Suggested Extra Reading

Annals of rheumatic diseases

Journals and Periodicals, others

Lancet

Course Instructor: Prof Dr Manal Tayel/ prof Dr Anna Abou Rayya Signature

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature

Department Head: Prof Dr/ Yehia Mostafa Ghanem Signature

Page 121: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 05150807 Course Name: Diabetes, Metabolism and lipidology

Program in which the Course is Given : Master Degree Internal Medicine

Credit Hours : 2.5

Theoretical Practical

Course Aims: allow the student to diagnose and effectively treat diabetes mellitus and its

complications, and other common metabolic diseases, maintain follow-up of patients and accurate

records, provide emergency measures for acute and critically ill patients and to allow the candidates

to diagnose and treat patients with a variety of lipid disorders whether primary or secondary to other

internal medicine.

Intended Learning Outcomes (ILOs)

Program ILO: Program ILO

(refer to program matrix

Course ILOs

A. Knowledge

and

Understandi

ng

By the end of the program the

PG students will be able to:

A1- Describe the characteristics of

different diseases in different

internal medicine subspecialties.

A3- Discuss the etiology,

pathogenesis and clinical

presentation of the different

diseases of internal medicine

By the end of the program the PG

students will be able to:

a1-Define the characteristics of different

types of diabetes mellitus and other

common metabolic diseases.

a2--Discuss the epidemiology of different

types of DM to realize the impact of the

disease on the community.

a3- List the etiology of secondary diabetes

mellitus

a4-Discuss the pathogenesis and clinical

1.5 1

Page 122: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A8- Trace the clinical symptoms

related to different body systems.

A11- Describe the different

management protocols of diseases

of internal medicine.

A15- Recognize the main recent

advances in the diagnosis &

management of different internal

medicine diseases.

symptoms of different types of diabetes

mellitus as well as other common

metabolic diseases.

a5- List the causes and risk factors of

common lipid disorders.

a6- State the effects of these factors on the

course of the disease.

a7- Describe the mechanisms by which

disease processes evolve secondary to lipid

disorders.

a8- Identify the alterations in body

structure produced by common lipid

disorders.

a9- Recognize the different clinical

presentations of lipid disorders.

a10- Practice a thorough systemic history

taking with the consideration of multi

systemic effects of lipid disorders.

a11- Examine the different body systems to

extrapolate the multi systemic effects of

lipid disorders.

a12- Identify the management protocols

adopted for treatment of different types of

diabetes mellitus

a13- Discuss the lines of management of

gout.

a14- State the basic investigations used in

diagnosis of common lipid disorders.

a15--Define the treatment options for

common lipid disorders, recognizing the

different levels of interventions.

Page 123: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A17-recognize of the essential

principals of scientific medical

research.

a16- Outline the steps of management of

diabetic complications and diabetic

emergencies.

a17- Identify the new guide lines for

diagnosis and management of the different

types diabetes mellitus.

a18- state the essential principals of

scientific medical research specially on

doing drug trials.

B. Intellectual

skills

By the end of the program the

PG students will be able to:

B1- Use the structural & functional

characteristics of the different body

systems to explain the different

pathological problems.

B2- Analyze the clinical signs and

symptoms of different internal

medicine problems to reach a

diagnosis /differential diagnosis.

By the end of the program the PG

students will be able to:

b1-Review the mechanisms of glucose

regulation.

b2-Classify diabetes mellitus and identify

the characteristics of different categories;

type 1, type 2, gestational, and secondary

diabetes .

b3- Explain the different pathological

problems associated with diabetes mellitus.

b4-Apply the basic biomedical sciences in

understanding disease mechanisms

secondary to lipid disorders.

b5--Search for & prioritize information

relevant to common clinical problems

taking into consideration the limitations of

this information.

b6-Trace the clinical signs and symptoms

of diabetes mellitus.

b7- Name the clinical signs and symptoms

of gout.

Page 124: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B5- Plan the appropriate

investigations for each patient to

help reaching the diagnosis.

B8- Solve some complex atypical

problems.

B10- Choose /compare between

different treatment modalities

based on best practice evidence

and cost effectiveness.

B11- plan appropriate management

lines for individual patients

presenting with the most common

medical disorders.

B12- Critically appraise current

literature on diseases of internal

medicine.

b8-Analyze & interpret information

reaching a logic conclusion to solve

common clinical problems related to lipid

disorders.

b9-Interpret the patients’ symptoms and

signs and apply proper clinical reasoning to

reach a diagnosis/differential diagnosis.

b10- Select the appropriate investigations

and individualize them according to

presence or absence of diabetic

complications.

b11- Order certain challenge tests as fasting

blood glucose and after a specific oral

glucose dose to diagnose gestational

diabetes.

b12-Outline the plan of investigations in

the view of available clinical data.

b13-Integrate the clinical data with the

results of investigations to reach a

diagnosis.

b14- Construct a questionaire to resolve

some complex problems

b15 -Follow the guide lines for diagnosis.

b16-Design the plan for medical

management of common lipid disorders.

b17 - Construct a plan for management of

different types of diabetes.

b18-Select the best line of management of

other metabolic diseases like gout and

pseudogout.

Page 125: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B14- Analyze reading of research

and issues related to the internal

medicine.

b19 – Evaluate the medical scientific

information and review the literature.

b20-Utilize different models to upgrade his

scientific knowledge, including self

learning and continuous medical education

courses.

C. Professional

and Practical

Skills

By the end of the program the

PG students will be able to:

C1. interview patients/families

about the particulars of the medical

condition for which they seek care,

with specific attention to

behavioral, psychosocial,

environmental, and family unit

correlates of disease.

C2- Perform full clinical

examination of different systems

and organs related to internal

medicine diseases.

C3- Diagnose and provide

management to all common internal

medicine diseases including acute

episodic medical illness.

By the end of the program the PG

students will be able to:

c1- Obtain an accurate, patient-centered

medical history that covers all aspects of

the patient’s problems.

c 2- Interview the patient about his

nutritional and environmental conditions

which could be related to his lipid

disorders.

c 3- Interview the patient about his family

history of lipid disorders.

c4- Conduct full clinical examination of

different systems and organs of diabetic

patients from the head to the toes to detect

the expected complications especially if the

diabetes duration exceeded 5 years.

c5- Perform a full general physical

examination including palpation of all

peripheral pulses, xanthomas and

xanthelasmas and any signs of vascular

insufficency

c6- Practice a thorough systemic

examination specially the that of

cardiovascular system

c7- Integrate the information obtained by

history with findings of the physical

examination to reach a

diagnosis/differential diagnosis.

Page 126: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C4- Evaluate patients functionally

C7- Perform procedures such as

pleural tap, paracentesis, lumbar

puncture, and attendance of Intra-

articular injections &

arthrocentesis, Ultrasound and echo

sessions,Endoscopy sessions,

ERCP session, Hemodialysis

c8- Order base line investigations that help

to diagnose common lipid disorders the

graduate is likely to face in practice.

c9- Relate the results of investigations

with the clinical findings to diagnose the

patient’s illness.

c10- Construct the plan of treatment for

common acute health problems.

c 11- Assess the overall mental and

psychological state of the patient.

c12- Evaluate the functional status of the

elderly patient

c13- Assess the degree of independency.

c14-Perform basic procedures such as

insulin injection ,and glucose monitoring

D. General

Skills

By the end of the program the

PG students will be able to:

D1- Retrieve information from all

sources ( printed, electronic,

communications etc…) at as

minimum time as possible.

D4-Verify the accuracy of scientific

material on basis of best evidence

in Medicine and in practice

By the end of the program the PG

students will be able to:

d1- Extrapolate the information from

electronic sources.

d2-Quote the needed information from

textbooks in short time.

d3- Employ the evidence based medicine in

verifying the accuracy of the scientific

information.

Page 127: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

D6-Present scientific information to

individuals and groups of different

educational and social levels.

D8- communicate effectively with

different members of the internal

medicine subspecialties members

D 9- Communicate effectively with

patients and their families.

d4- Develop appropriate professional

attitudes.

d5– Specify the various problems and

issues related to patients.

d6- Inform the patient and his family about

the risks and prognosis of his metabolic

disease.

d 7- Inform the patient and his family about

the behavioral and environmental hazards

on his metabolic disease

d8- Practice the medical orientation of

patients in different opportunities.

d9- present information clearly to the

different members of diabetology unit.

d10- Communicate effectively using verbal

and non verbal methods with people at

various levels of education, intelligence,

social and cultural strata.

d11- Utilize effective methods of written

communication to transfer ideas and

information in official and non official

settings

d12- Communicate effectively using verbal

and non verbal methods with people at

various levels of education, intelligence,

social and cultural strata.

d13- Utilize effective methods of written

communication to transfer ideas and

information in official and non official

settings.

Page 128: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

d14- Present information to others

according to their educational level

utilizing verbal and available audiovisual

tools.

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small group

discussion

Others

Classification, pathogenesis, and

diagnosis of Diabetes Mellitus.

Management of DM(1)

Management of DM(2):Insulin

therapy

Acute diabetic complications

Chronic diabetic complications

GDM

Hypoglycemia

Ca metabolism

Purine metabolism & Gout

Metabolic Syndrome &

cardiovascular risk reduction

Glycogen storage disease

Lysosomal storage disease

Case studies (1)

Case studies (2)

Lipids in Diet

Digestion of Fat

Absorption of Fat

Plasma Lipoproteins

Fredrickson Classification Secondary

Hyperlipidemia

Familial Syndromes of Lipid

disorders

Risk factors of Atherosclerosis

Pathogenesis of Atherosclerosis

HDL-C

Targets&Treatment of Dyslipidemia

Recent Therapy of Dyslipidemia

Role of lipoproteins in atherogenesis

Page 129: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Please check () the appropriate method.

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE

Assignment Logbook fulfillment

Others

Schedule of Assessment

Mid-term %

End of term 100 %

Distribution of Marks

Written Exam 70 %

Practical/Clinical Exam 30 %

Others %

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

Harrison’s of Internal Medicine

Kumar Text Book of Internal Medicine

Davidson Textbook of Medicine

Clinical diabetes

Suggested Extra Reading

Cecil Text Book of Internal Medicine

Journals and Periodicals, others

Lipidsonline.com

American Journal of Lipidology

Course Instructor: .Prof Dr/ Yehia Ghanem, Prof Dr/ Eman youssef

Program Coordinator: Prof Dr/ Mohamed Samy Gad

Department Head: Prof Dr/ Yehia Moustafa Ghanem

Page 130: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 050208150 Course Name: Cardiovascular Diseases

Program in which the Course is Given : Master Degree Internal Medicine

Credit Hours : 2

Theoretical Practical

Course Aims: To allow the candidates to diagnose and treat patients with a variety of common chest

disorders.

Intended Learning Outcomes (ILOs)

Program ILO Course ILOs

A. Knowledge and

Understanding

By the end of the program the

PG students will be able to:

A1- Describe the characteristics

of different diseases in different

internal medicine subspecialties.

A2- Identify the effect of

different factors involved in the

pathogenesis different diseases

of internal medicine.

By the end of the program the PG

students will be able to:

a1- Define the characteristics of valvular

heart diseases

a2- Outline the characteristics of coronary

artery diseases.

a3- List the characteristics of pericardial

diseases.

a4- Describe the characteristics of

myocardial diseases.

a5- Outline the role of infection,

autoimmunity, environment ,..etc in the

pathogenesis of coronary artery diseases,

hypertension, cardiomyopathy and

arrhythmias.

1 1

Page 131: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A3- Discuss the etiology,

pathogenesis and clinical

presentation of the different

diseases of internal medicine.

A10- Appreciate the impacts of

professional practice on the

environment.

A11- Describe the different

management protocols of diseases

of internal medicine.

A15- Recognize the main recent

advances in the diagnosis &

management of different internal

medicine diseases.

A18- Mention the principles and

fundamentals of ethics and legal

aspects of scientific research in

the field of internal medicine.

a6- list the etiology of the different

cardiac diseases.

a7- explain the pathogenesis of cardiac

diseases.

a8-Describe the clinical presentations of

the diffferent cardiac diseases

a9- Recognize the risk/benefit ratio of

professional practice such as

echocardiography , cardiac catheterization

and pacemaker implantation

a10- Evaluate their hazards on the patient

and surrounding environment.

a11- Identify the updated management

protocols of acute myocardial infarction,

acute coronary syndrome, hypertension and

its complication and heart failure.

a12- Manage the risk factors like hyper-

lipidemia and atherosclerosis.

a13- Trace the main recent advances in the

diagnosis of different cardiovascular

diseases including the new imaging

modalities and radionucleid scan.

a14- identify the main recent advances in

the management of different

cardiovascular diseases including the use

of fibrinolytic drugs and intelligent stents

in dealing with coronary heart disease.

a15- Recall the new antihypertensive

drugs and their indications.

a16- Define the ethical and legal aspects

of scientific research specially if

intervention techniques will be used.

Page 132: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B. Intellectual

skills

By the end of the program the

PG students will be able to:

B1- Use the structural &

functional characteristics of the

different body systems to explain

the different pathological

problems.

B2-Analyze the clinical signs

and symptoms of different

internal medicine problems to

reach a diagnosis /differential

diagnosis.

B3- Select from different

diagnostic alternatives to reach a

final diagnosis.

B4- Analyze , interpret, and

objectively evaluate the history

data and physical signs in order

to select the appropriate

diagnostic procedures required.

B7- Recognize the different risks

of diagnostic procedures, and how

to avoid or manage them.

B8- Solve some complex atypical

problems.

By the end of the program the PG

students will be able to:

b1- Illusterate the anatomical

characteristics of the heart.

b2-Review of the functional

characteristics of the heart.

b3-Explain the pathological problems of

cardiac diseases in relation to the

derangement of structure and function of

the heart.

b4 - Detect the symptoms & signs of

cardiac diseases.

b5 – Integrate the clinical symptoms and

signs to reach a final diagnosis and proper

decision making.

b6- analyze and interpret informations from

alternatives to reach a final diagnosis as the

use of multislice CT imaging in unfit

patients for cardiac catheterization.

b7- Analyze the history data.

b8- Detect the physical signs.

b9- Integrate the clinical symptoms and

signs to reach a final diagnosis and proper

decision making.

b10- Identify the different risks of cardiac

catheterization and how to avoid or

manage them.

b11- recognize the risks of cardiac

imaging.

b12-Construct a questionnaire to resolve

some complex problems and adhere to the

guide lines for diagnosis.

b13- Sketch the diagnostic algorithms to

help the approach to atypical cases.

Page 133: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B9 -Use the analytical thinking

skills in problem-solving and

decision making skills for

appropriate management of

common conditions.

b14- Apply the analytical thinking skills for

appropriate management of cardiac

diseases.

b15- Select the appropriate treatment

between different treatment modalities

based on best practice evidence and cost

effectiveness.

b16-Plan the appropriate management lines

on individualized base, respecting the

inter-personal variations..

C. Professional

and Practical

Skills

By the end of the program the

PG students will be able to:

C1- Interview patients/families

about the particulars of the

medical condition for which they

seek care, with specific attention

to behavioral, psychosocial,

environmental, and family unit

correlates of disease.

C2- Perform full clinical

examination of different systems

and organs related to internal

medicine diseases.

C3- Diagnose and provide

management to all common

internal medicine diseases

including acute episodic medical

illness.

By the end of the program the PG

students will be able to:

c1- Construct a proper history from the

patient about his cardiac disease for which

the help was sought.

c 2- Interview the patient about his

behavioral, psychosocial and

environmental conditions which could be

related to his cardiac disease.

c 3- Interview the patient family about the

patient cardiacl disease.

c4- Perform full clinical examination of

different systems and organs that may be

the underlying cause of his cardiac problem

eg; renal failure or diabetes mellitus and

their cardiac complications.

c5- approach appropriately to common

cardio vascular diseases including acute

episodic medical illness such as acute

myocardial infarction , arrhythmias and

hypertensive crisis and manage them

effectively and at the shortest time.

Page 134: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

C4- Evaluate patients functionally

C5 - Write medical reports

C7- Perform procedures such as

urgent pericardiocentesis and

pleural tap, Attend Ultrasound

and echo sessions.

C8 - Determine the indications,

contraindications, and

complications of various

procedures listed.

c6- Stabilize the patients with acute cardiac

emergency and refer him to a cardiac center

in short time.

c7- Evaluate patients functionally

according to NYHA classification and

insure his independency.

c 8- Assess the overall mental and

psychological state of the patient.

c9- Assess the degree of independency.

c10 - Write full clear and comprehensive

medical reports.

c11- Use a simple clear language on

writing reports.

c12- Interpret the echo images and write a

scientific report.

c13- Recognize cardiac catheterization.

c14- Recognize pericardio-centesis

procedures

c 15 – outline the indications,

contraindications, and complications of

various procedures listed.

D. General Skills

By the end of the program the

PG students will be able to:

D1- Retrieve information from all

sources ( printed, electronic,

communications etc…) at as

minimum time as possible.

D2-Search effectively in med line

data bases to find relevant articles

related to the patient's conditions.

By the end of the program the PG

students will be able to:

d1- Extrapolate the information from

electronic sources.

d2-Quote the needed information from

textbooks in short time.

d3-use properly the med line data bases to

get the needed articles related to the

patient's conditions.

Page 135: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

D3- Recognize the importance of

being an independent self-learner

and acquire the capability to

search through medical data base .

D4-Verify the accuracy of

scientific material on basis of best

evidence in Medicine and in

practice.

D6-Present scientific information

to individuals and groups of

different educational and social

levels

D7- Work effectively within a

team.

D8- communicates effectively

with different members of the

internal medicine subspecialties.

D9- Communicate effectively

with patients and their families.

d4- Adopt the principles of lifelong

learning.

d5- Appraise self learning and develop the

capability to reach the needed information.

d6- Employ the evidence based medicine in

verifying the accuracy of the scientific

information.

d7- Develop appropriate professional

attitudes.

d8– Specify the various problems and

issues related to patients.

d9- Inform the patient and his family about

the risks and prognosis of his cardiac

disease.

d10- Lead the team work in the ward or in

dialysis units.

d11- Appraise the team work and

encourage others to join.

d12- present information clearly to the

different members of cardiology unit.

d13- Communicate effectively using verbal

and non-verbal methods with people at

various levels of education, intelligence,

social and cultural strata.

d14- Utilize effective methods of written

communication to transfer ideas and

information in official and non official

settings.

d15- Provide family support and health

education.

d16- Report the patient and his family

about the risks and prognosis of his

rheumatologic disease.

Page 136: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

d17- Present information to others

according to their educational level

utilizing verbal and available audiovisual

tools.

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

1-Arrhythmia + + +

2-Infective endocarditis + +

3-Hypertension + +

4-Nuclear cardiology + + +

5-Hypotension and shock +

6-Electrocardiography + + + +

7-Cardiomyopathy and myocarditis +

8-Congenital heart dis. in adults + +

9-Peicardial dis. + + +

10-Cor pulmonale + +

11-IHD,stable angina + +

12-IHD;Acute coronary syndromes + +

13-Echocardiography + + +

14-Pacemakers +

15-Diseases of Aorta + +

16-Rheumatic fever & vavular heart

dis.

+ +

17-Cardiac cath.&angio + + +

18-Heart failure +

Page 137: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

In the last week of the semester and at the same day of

attendance to the subspecialty unit the exam will be conducted

Distribution of Marks

70% Theoretical Exam

30% Clinical Exam

List of Textbooks and References

Lecture Notes

Print-out of given lectures

Course Text Books

Basic knowledge from Alexandria book of

Cardiology,Coperhensive cardiovascular

medicine of Eric Topol

Suggested Extra Reading

Braunwald' heart disease

Journals and Periodicals, others

Journals of ACC,ESC and circulation

Course Instructor: Prof.Dr.Eman Elsharkawy Signature

Program Coordinator: Prof Dr/ Mohamed Samy Gad Signature

Department Head: Prof Dr/ Yehia Ghanem Signature

Page 138: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

Course Specifications

University: Alexandria

Faculty: Medicine

Department: Internal Medicine

Course Information

Course Code: 053308150 Course Name: Tropical Medicine for Internal

Medicine

Program in which the Course is Given: Master Degree in Internal Medicine

Number of Credit Hours : 1 Theoretical Clinical/Practical

Course Aims

The student should have a fundamental knowledge about the most relevant topics in Tropical

medicine to internal medicine practice namely; Schistosomiasis, eosinophilia & Fasciolaisis,

intestinal helminthes. Leshmaniasis, Malaria and Toxoplasmosis, Amoebiasis, Giardiasis, and

Dysenteric Syndrome, Enteric fevers and Brucellosis, PUO, heat disorders, HIV, Cholera. Food

Poisoning, Rabies & tetanus, Filaria, Hydatidosis Meningitis, and Advice to travelers

Intended Learning Outcomes (ILOs)

Program ILO (refer to program

matrix) Course ILOs

A. Knowledge

and

Understanding

By the end of the program the

PG students will be able to:

A1- Describe the characteristics

of different diseases in

different internal medicine

subspecialties.

a1- Describe the characteristics of the most

commonly encountered tropical parsitic

diseases especially those endemic to our

community such as schistosomiasis,

fascioliasis,and other helminthic

infections

a2- Describe the characteristics of the most

commonly encountered tropical bacterial

and viral infectious diseases in our

community such as enteric fevers,

brucellosis ,meningitis etc.

a3- Describe the characteristics of some

common conditions occurring in the

Tropics such as heat disorders.

1/2 1/2

Page 139: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A2- Identify the effect of

different factors involved in

the pathogenesis different

diseases of internal medicine.

A3- Discuss the etiology,

pathogenesis and clinical

presentation of the different

diseases of internal medicine.

A7- Appreciate the clinical

spectrum of common medical

conditions with multisystem

affection.

A10- Appreciate the impacts of

professional practice on the

environment.

a4- Identify the common mechanisms

involved in the pathogenesis of the

studied parasitic infections including

immunologic mechanisms

a5- Identify the common mechanisms

involved in the pathogenesis of studied

bacterial and viral infectious diseases.

a6- Identify the pathogenic mechanism

involved in the occurrence of heat

disorders in the tropics

a7- Discuss the etiology, pathology and

clinical presentation of the commonly

encountered tropical parasitic diseases in

our community such as schistosomiasis,

fascioliasis, intestinal helminthes, etc

a8- Discuss the etiology, pathology and

clinical presentation of the commonly

encountered tropical infectious bacterial

and viral diseases in our community such

as enteric fevers , Brucellosis, and

Meningitis etc

a9- Discuss the etiology, pathology and

clinical presentation of some common

conditions occurring in the Tropics such

as heat disorders.

a10- Define the clinical spectrum of the

studied parasitic and infectious diseases

with its effect on the various organs and

systems of the body.

a11- Recognize uncommon presentation of

the studied common tropical parasitic

and infectious diseases.

Page 140: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

A11- Describe the management

protocols &/or procedures

adopted in management of

diseases of internal medicine.

A15- Recognize the main recent

advances in the diagnosis &

management of different

internal medicine diseases.

a12- Recognize the role of professional

practice in the field of tropical medicine

and its impact on the good management

and control of most common infectious

diseases.

a13- Recognize the role of professional

practice in the field of tropical medicine

and its impact on the good management

and control of most common endemic

parasitic diseases.

a14- Describe the management protocols

adopted in the management of the

studied bacterial and viral infectious

diseases.

a15- Describe the management protocols

adopted in the management of the

studied endemic parasitic diseases.

a16- Describe the management protocols

adopted in the management of heat

disorders.

a17- Recognize the recent advances in the

diagnosis and management of the studied

bacterial and viral infectious diseases.

a18- Recognize the recent advances in the

diagnosis and management of the studied

endemic parasitic diseases.

B. Intellectual

skills

By the end of the program the

PG students will be able to:

B2-Analyze the clinical signs and

symptoms of different internal

medicine problems to reach a

diagnosis /differential

diagnosis.

b1- Analyze the clinical signs and symptoms

of the patients with fever or PUO to

reach a diagnosis/ differential diagnosis.

b2- Analyze the clinical signs and symptoms

of the patients with different syndromes

Page 141: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

B3- Select from different

diagnostic alternatives to

reach a final diagnosis.

B4- Analyze, interpret, and

objectively evaluate data

obtained from patient’s

history and physical findings

for choosing the appropriate

diagnostic procedures

required.

related to parasitic diseases to reach a

diagnosis/ differential diagnosis e.g.

eosinophilia, abdominal pain and

diarrhea etc.

b3- Use appropriately different diagnostic

modalities to reach a final diagnosis in

patients with fever syndrome and PUO.

b4- Use appropriately different diagnostic

modalities to reach a final diagnosis in

patients with clinical syndromes related

to parasitic and infectious diseases e.g.

eosinophilia, abdominal pain, and

diarrhea etc.

b5- Analyze, interprets, and objectively

evaluates data obtained from patient’s

history and physical findings and

choosing the appropriate diagnostic

procedures required to reach a diagnosis

of patients with fever syndrome and

PUO.

b6- Analyze, interpret, and objectively

evaluate data obtained from patient s

history and physical findings and

choosing the appropriate diagnostic

procedures required to reach a diagnosis

of patients with clinical syndromes

related to parasitic diseases e.g.

eosinophilia , abdominal pain etc.

C.Professional

and Practical

Skills

By the end of the program the

PG students will be able to:

C2- Perform full clinical

examination of different systems

and organs related to internal

medicine diseases.

c1- Perform full clinical examination of

different systems and organs related to

the studied bacterial and viral infectious

diseases.

c2- Perform full clinical examination of

different systems and organs related to

the studied parasitic diseases paying

particular attention to abdominal

examination.

Page 142: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

D. General

Skills

By the end of the program the

PG students will be able to

____________________

___________________________

Course Content (Units/Topics)

Teaching/Learning Methods

Lectures self

learning

Practical/

Clinical

Small

group

discussion

Others

Schistosomiasis

Eosinophilia & Fascioliasis

Intestinal helminthes

Filaria & hydatidosis

Malaria & Toxoplasma

Leishmaniasis

Amoebiasis & Giardiasis

Enteric fever & Brucellosis

Cholera & Food poisoning

Dysenteric syndromes

Meningitis

Rabies & Tetanus

HIV

PUO

Heat disorders

Advice to travellers

Please check () the appropriate method.

Student Assessment

Methods of Assessment

Essay Objective questions

Case OSCE/OSPE

Assignment Logbook fulfillment

Others

Schedule of Assessment

Mid-term %

End of term 100 %

Distribution of Marks

Written Exam 70 %

Practical/Clinical Exam 30 %

Others %

Page 143: University: Alexandria Faculty: Medicine Program ... · all body systems and ways of management at all age groups starting from adolescence. A6- Identify the etiology, genetics, pathology

List of Textbooks and References

Lecture Notes

Lectures prepared by the staff

Course Text Books

Cook G, Zumla A, eds. Manson s Tropical

Diseases, 22nd ed. London: Saunders,2009

Suggested Extra Reading

- WHO guidelines on prevention and control of

infectious diseases ( WHO website)

- CDC guidelines for prevention and control of

infectious diseases (CDC website)

Journals and Periodicals, others

- Am J Trop Med hyg.

- Trans R Soc Trop Med Hyg.

- Clin Infect Dis.

- Trop Doct

Course Instructor

Name: Prof. Dr. Alaa Abdo Signature:

Program Coordinator

Name: Prof. Dr. Mohammad Samy Gad Signature:

Program Director (Head of Department)

Name: Prof. Dr Yehia Ghanem, Signature: